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Medical Records Request

UT Health East Texas offers the following individuals the ability to request electronic medical records easily online through the MyChart patient portal or our online request platform:

  • Patients requesting their own records
  • Parents of minor patients requesting records
  • Caregivers acting on behalf of a patient (i.e. Power of Attorney)

Please note: Chrome, Firefox, and Safari are the recommended browsers.

Request Records in MyChart

View your patient medical record securely from your computer or mobile device through MyChart. Once logged in to MyChart, go to Menu > Document Center > Requested Records > Click to send a request for records and complete the form. Click below to sign in.

Request Records in MyChart
(patient or legal guardian with MyChart accounts)

Request Records Online

Receive a copy of your medical record request using our online request platform. To verify your identity, you will need to submit a photo of your driver’s license. Click below to begin the request. A copy of your record will be sent to the email address provided.

Request Records Online
(patient or representative requests only)

Request Records on Paper*

To request your medical request on paper, click the appropriate link below to download the form.

*Please note there may be a fee associated with processing a paper request.

UT Health East Texas Hospitals (all)

Medical Records Request Form

UT Health North Campus Tyler (formerly UT Health Northeast)

Medical Records Request Form (English) Medical Records Request Form (Spanish)

Once complete, fax, mail, or email the form to the Health Information Management (HIM) Department.

Fax your request to 903-596-3661 (North Campus Only 903-877-5123)

Mail your request to the relevant address below:

HIM Department
830 S. Beckham Avenue
Tyler, TX 75701

North Campus
11937 US Highway 271
Tyler, TX 75708

Email your request to:

If you encounter any issues with your electronic request, please call our Release of Information Call Center at 903-531-8161 (North Campus Only 903-877-7985).