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Medical City North Hills

Patient Forms

These forms have been posted for your convenience. Please print the attached forms, fill them out, and bring them with you to your next doctor or hospital visit. If you have questions, please call our Chaplain/Patient Advocate at (817) 255-1176.

Advanced Directive

Medical Records

The Medical Records/Health Information Management (HIM) Department main number is (817) 255-1703.

Copies of Medical Records

To obtain a copy of your medical records, please complete the Authorization to Release Health Information form (EspaƱol) and provide a copy of your driver's license.

  • You may fax the information to (469) 484-2006.
  • You may mail the information to: Medical City North Hills, ROI Department, 10030 N MacArthur Blvd, Irving, TX 75063.
For more information, view the Instructions to Completing the Authorization for Protected Health Information. The Release of Information office is staffed Monday - Friday from 8:30 am to 4:00 pm and can be reached at (888) 749-7952. For calls left after business hours, your call will be returned the next business day.

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