Requesting Your Record
UT Southwestern Medical Center provides release of information services for patients who request medical records from UT Southwestern’s hospitals or clinics.
Patient medical records are available Monday through Friday, from 8 a.m. to 5 p.m., in adherence with all state and federal regulations for the release of information.
How to Request Your Record
Patients who want to obtain a complete copy of their medical records must complete an Authorization to Disclose Protected Health Information (en Español) form (PDF opens in a new window). Patients may also contact Medical Records and one will be mailed.
Please note that there is a fee for processing your medical records request; however, there is no charge for records being sent directly to another healthcare facility or physician for continuation of care.
When writing, be sure to include “Request for Release of Information” on the envelope. Complete and sign the form, then mail or bring in the original copy.
We also accept requests via email. You may send your request for release of information to firstname.lastname@example.org.
Obtaining the Records of Incapacitated or Deceased Persons
To obtain medical records for incapacitated patients, the authorized individual must provide a valid copy of the patient’s Medical Power of Attorney (PDF), which states they have permission to the patient’s health information. When requesting records for a deceased patient, a death certificate that identifies the requesting party on the death certificate and the Executor/Administrator of the Estate or Last Will and Testament/Testamentary documents are required.