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Baylor Health Care System > Patients & Visitors > Authorization for Release of Information

Authorization for Release of Information 

Request Copies of Your Medical Records

To request copies of your medical records, please download, complete and sign the Authorization for Release of Information form for your Baylor Health Care System facility. Completed forms may be mailed or faxed to the facility's Health Information Management Department. 

For more information about the release of information process, please contact the appropriate Baylor Health Care System facility listed below.

Baylor All Saints Medical Center at Fort Worth

Health Information Management Department – Release of Information
1400 Eighth Ave.
Fort Worth, TX  76104
Phone: 817.927.6125
Fax: 817.922.1552
Authorization for Release of Information Form | en Español 

Baylor Jack and Jane Hamilton Heart and Vascular Hospital

Health Information Management Department
621 Hall St.
Dallas, TX  75226
Phone: 214.820.0655
Fax: 214.820.0649
Authorization for Release of Information Form | en Español 

Baylor Medical Center at Carrollton

Health Information Management – Medical Records
4343 N. Josey Lane
Carrollton, TX  75010
Phone: 972.394.2272
Fax: 972.394.2351
Authorization for Release of Information Form | en Español 

Baylor Medical Center at Garland

Health Information Management Department
2300 Marie Curie
Garland, TX  75042
Phone: 972.487.5080
Fax: 972.485.3026
Authorization for Release of Information Form | en Español 

Baylor Medical Center at Irving

Health Information Management Department – Release of Information
1901 N. MacArthur Blvd.
Irving, TX  75061
Phone: 972.579.4323
Fax: 972.579.4416
Authorization for Release of Information Form | en Español 

Baylor Medical Center at McKinney

Health Information Management Department
5252 W. University Drive
McKinney, TX  75071
Phone: 469.764.2300
Fax: 469.764.2313
Email: bmcmroi@baylorhealth.edu
Authorization for Release of Information Form | en Español 

Baylor Scott & White Medical Center – Waxahachie

Health Information Management Department – Medical Records
2400 N. I-35E
Waxahachie, TX 75165
Phone: 469.843.4120
Fax: 972.923.8098
Authorization for Release of Information Form | en Español 

Baylor Regional Medical Center at Grapevine

Health Information Management Department – Release of Information
1650 W. College St.
Grapevine, TX  76051
Phone: 817.329.2543
Fax: 817.329.2883
Authorization for Release of Information Form | en Español 

Baylor Regional Medical Center at Plano

Health Information Management Department
4700 Alliance Blvd.
Plano, TX  75093
Phone: 469.814.3225
Fax: 469.814.3212
Authorization for Release of Information Form | en Español 

Baylor Specialty Hospital

(This location closed beginning Sept. 10, 2014.  Submit requests for copies of medical records using the contact information below.)
Health Information Management Department
3301 Swiss Ave.
Dallas, TX  75204
Phone: 214.820.8283
Fax: 214.820.9716
Authorization for Release of Information Form | en Español 

Baylor University Medical Center at Dallas

Health Information Management – Jonsson Basement
3500 Gaston Ave.
Dallas, TX  75246
Phone: 214.820.2135
Fax: 214.818.6782
Authorization for Release of Information Form | en Español 

Our Children’s House at Baylor

Health Information Management Department
3301 Swiss Ave.
Dallas, TX  75204
Phone: 214.820.8283
Fax: 214.820.9716
Authorization for Release of Information Form | en Español 

The Heart Hospital Baylor Plano

Health Information Management Department
1100 Allied Drive
Plano, TX  75093
Phone: 469.814.4360
Fax: 469.814.4361
Authorization for Release of Information Form | en Español