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 .
- Advance Directive (Living Will)
- Medical Power of Attorney
- Allow Natural Death (Do Not Resuscitate Form)
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.
Medical Records Release
For more information, view the Instructions for Completing the Authorization for Protected Health Information.
Upon completion, mail the completed form to:
Medical City North Hills, ROI Department,
10030 N MacArthur Blvd
Irving, TX 75063
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.