To request a copy of your medical record, please contact the medical records office at 713-793-3939.
You will be asked to complete an Authorization for Disclosure of Health Information form. You can download it and fax it to 713-793-3770 or mail it to:
Shriners Hospitals for Children — Houston
6977 Main St.
Houston, Texas 77030
We can also send this form to you via fax or email.
If you prefer, you may pick up an authorization form in person by stopping by the medical records office during our regular business hours: 8 a.m. – 4:30 p.m., Monday – Friday.
Requests for copies take 10 to 15 business days to process upon receipt of the authorization form. There will be a charge or $45.74 for the first 10 pages and $1.54 per page after that. (Please note that these fees are set by the state of Texas.)
At Shriners Hospitals for Children — Houston, there are no barriers to care. Doctors determine the course of care and all care is provided regardless of the families' ability to pay. For families with insurance, the hospital will accept payment from insurance providers. However, insurance coverage is not required for care. Any child under 18 with a medical condition that is within the scope of services provided is eligible for care.
For insurance-related questions, please call our financial counseling hotline at 713-793-3986.