For patients of UT Health North Campus Tyler (formerly UT Health Northeast)
To request a copy of your medical records, please fill out the form below. You may mail or fax it to:
Release of Information
11937 US Hwy 271
Tyler, TX 75708
Phone: 903-877-7985
Fax: 903-877-5123
Medical Records Request Form (English)
Medical Records Request Form (Spanish)
For patients of all other UT Health East Texas hospitals
To request a copy of your medical records, please fill out the form below. You may fax the form to 903-535-6178 or call 903-531-8125 for further assistance.