Medical Record Requests
Request a Copy of Your Medical Record
Medical record personnel are available to process requests Monday through Friday 8:00 a.m. to 4:30 p.m.
Authorization Forms may be brought to the department, mailed or faxed to the address or fax number located at the bottom of the authorization. Your medical records will be mailed to you or you may pick up records from the main lobby of the first floor of Bridwell Tower. Please call X3627 from the receptionist desk; we will bring the records to you.
The Texas Legislature sets the fees our hospital charges for copies of medical records. This is found in S241.54(e) of the Health and Safety Code. These charges are reviewed and updated annually based on the price index as published by the Bureau of Labor Statistics of the United States Department of Labor.
Hard Copy pages
- 1-10 = $45.02 for the first ten pages
- 11-60 = $1.51 a page
- 61-400 = $.75 a page
- 400 & over = $.40 a page
- 1-10 = $68.58 for the first ten pages
- 11 & over = $1.51 a page
- Written deposition $10.00 each
- Affidavit $1.00 each
Download a pdf file of the Medical Records ROI Authorization.
For assistance or additional questions, you may contact a member of the department by calling (940) 764-3627.
Requesting access to someone else’s MyChart record
To request access to the MyChart record of your minor child or an adult whose medical care you help manage, please complete the appropriate form listed below. Please note that the patient’s chart will be accessed through your (the proxy’s) MyChart record. Completing this form will establish a MyChart record for you and for the patient.