At Cook Children's, you'll find the best pediatric doctors in North Texas. Our professionals put the health and well-being of your child first and foremost.
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Looking for a pediatric specialty clinic? Cook Children's has more than 60 locations across North Texas, because even when your child's diagnosis is complicated, finding the right care should be simple.
Specialty Clinics Specialty Referrals
Cook Children's keeps a record of each lab, x-ray, medical center or specialty clinic visit.
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 health care professionals caring for you or your child. Everyone else must get special permission (called authorization) before the information can be released.
Parents or legal guardians (without court imposed restrictions) may obtain and/or authorize the release of protected health information from their child's medical record from Cook Children's. Individuals over the age of 18 must authorize the release of their own information.
To request a copy or have a copy of the medical record sent to another party, call Cook Children's Release of Information department in the main medical center building at 682-885-1012 between the hours of 7:30 a.m. and 5:00 p.m., Monday through Friday. 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.
Please remember, we must return the form to you if any information is missing or incomplete. This may delay the release of information.
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.
Because of the number of requests we receive, it may take up to 15 days to process a request. Please let us know if you have an urgent need and we will try to make other arrangements.
Download and print the authorization form - English
Download and print the authorization form - Spanish