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Medical Records Request

Patients who have received care at Dallas Regional Medical Center may request copies of their medical record/health information by contacting the hospital and requesting an “Authorization for Release, Use and Disclosure of Health Records” form.

You may download/print off a medical record request form by clicking here, or contact Dallas Regional Medical Center at 214-320-7158 to ask for the form to be sent to you. Once you have completed the form, please fax it to 833-714-0350.