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

Medical Records Release



Upon completion, mail the completed form to:


Medical City Weatherford, 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.

Continuity of Care Release of Information Fax Requests

If you are a facility or a doctor’s office requesting records on a patient currently being treated, or you are a patient requesting records be sent to a physician for continuation of care, please fax a completed release form to (469) 484-2006.

Provider & Third Party Requests for Medical Record Copies

Healthcare Providers or other third party requestors, send your request to the address or fax number above. If you need your records immediately, please write this on the top of the form. Normal processing is 5 – 7 days. Please direct questions to COIX at (888) 749-7952.