These forms have been posted for your convenience. Please print the attached forms, fill them out, and bring them with you to your next doctor or hospital visit. If you have questions, please call our Chaplain/Patient Advocate at (817) 255-1176 .

Advanced Directive

En Espanol

The Medical Records / Health Information Management (HIM) Department main number is (817) 255-1703

Request Copies of Your Medical Records

To obtain a copy of your medical records, please complete the medical records release form below and provide a copy of your driver's license.

Download Forms

Upon completion, mail the completed form to:


Medical City North Hills, ROI Department,
Dallas SSC
P.O. Box 290489
Nashville, TN 37229-0489

Phone: (888) 749-7952

Patient fax line: (469) 484-2006

ROI Office Operating Hours


8:30 am to 4:00 pm

For calls left after business hours, your call will be returned the next business day.