Protecting Your Privacy

The Health Information Management Department at Driscoll Children’s Hospital, Corpus Christi is committed to providing optimum customer service to patients, family members and healthcare professionals. Our team maintains the confidentiality of all protected health information, ensures records are properly secured and appropriately discloses information.

Important Information

Records can be released to anyone whom the patient or legal guardian authorizes (in writing) to receive such information. A valid authorization must contain the following information or the request will be returned:

  • Patient’s full name and date of birth; specific information being requested (i.e., type of report/information and dates of service, etc.)
  • Purpose for which the information may be disclosed (i.e., personal use, continuity of care, legal matter, etc.)
  • To whom the information is to be sent (name and address)
  • Authorization’s expiration date if requested (otherwise, the authorization will be valid six months from the date signed)
  • The patient’s signature or the signature of the patient’s legal representative
  • Date of the signature

Please note that unsigned requests will not be processed. Requests for copies of medical records of deceased patients require a copy of the death certificate or evidence of next of kin or executorship of the estate. Please make sure all areas are filled out completely and correctly. Incomplete releases will be returned for correction.

Patient Medical Records

Request medical records

  • To request a copy of a medical record, you must complete a Release of Information (ROI) form (English PDF | Spanish PDF).
  • The request may take approximately 10–14 business days to process.
  • Records requested for continuity of care are provided at no charge.
  • Continuity of care between healthcare providers will be provided at no charge.

Request changes to health record

Patients or legally authorized representatives may request an amendment to a health record, if they believe their record needs to be corrected or revised, by completing a Request for Amendment form - PDF.

Request a release restriction or limited access

Patients or legally authorized representatives may request restricted access to a patient’s record. You will need to complete the Restricted Access form at the time of registration.

Request a copy of a death certificate

If a patient passes away at our facility, the Health Information Management Department does not have or provide copies of death certificates. Family or legally authorized representatives can contact the Office of Texas Vital Statistics to obtain these certificates.

Frequently Asked Questions

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 Driscoll Children's Hospital. 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 Driscoll Children's Hospital Health Information Management Department at (361) 694-5468 between 8 a.m. and 5 p.m., Monday through Friday. We will be happy to mail or fax you a form. You may also obtain a form from your Specialty Clinic.

  • Provide all requested information. 
  • Be very specific about the information you need to have released. Write down dates, types of visits, and what parts of the record you need. 
  • For X-ray films/images, please state on the form that you need X-ray films/images. 
  • Sign and date the authorization using your full legal signature. 
  • Mail the authorization form to: 
    Attention: HIM Medical Record Release 
    Driscoll Children’s Hospital 
    3533 S. Alameda St. 
    Corpus Christi, TX 78411 
  • Or fax to (361) 808-2056

For questions, please contact a record release representative at (361) 694-5468. Please remember, if any information is missing or incomplete, we must return the form to you. This may delay the release of information.


Contact Us

Health Information Management is open from 8 a.m. to 5 p.m., Monday through Friday, excluding observed holidays.
(361) 694-5468

Answering the Call

When you have questions about pediatric care, we have answers.
(361) 694-5000

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