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Cook Children's Northeast Hospital 
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Northeast Hospital

Request medical records

To request a copy or have a copy of the medical record sent to another party, call Cook Children's Northeast Hospital's Health Information Management Department at 817-605-2984 between the hours of 8:00a.m. and 5:00 p.m., Monday through Friday. We will be happy to mail, fax or email you a form.

The privacy of this information is protected by federal and state regulations. This means your medical information is only available to the Cook Children's healthcare professionals caring for you or your child. Everyone else must get special permission (called authorization) before the information can be released.

Who must authorize release of information

Parents or legal guardians (without court imposed restrictions) may obtain and/or authorize the release of protected health information from their child's Cook Children's Northeast Hospital's medical record. Individuals 18 or older must authorize the release of their own information.

We will be happy to mail or fax you a form. You may also get a form from your Specialty Clinic or download it here in English or Spanish.

Written authorization, what to do

Before releasing a record

Fee for release

There is a fee for release of copied medical records. This fee must be paid at the time of, or before the release is completed.

Time for release

Because of the number of requests we receive, it may take up to 15 business days to process a request. If you plan on picking up the records, please call ahead of time to ensure they are ready when you arrive.

If you have any questions related to any of the above, please contact HIM at 817-605-2984.

 
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