Medical records

To request copies of your own medical records, or to authorize the disclosure of your medical records to another individual or third party, you will need to complete a HIPAA compliant form and submit your request in writing to the Health Information Services (HIS) department. Note: Please be sure to complete all sections when filling out the form.

Patients, legal guardians and personal representatives with legal authority to make health care decisions on behalf of the individual may obtain medical record copies by one of two methods:

1. Completing a Patient Request for Information form: (English) (Español), or
2. Submitting a request to release the medical record through the Shriners Hospitals for Children Patient Portal. (Note: This process does not require completion of the form listed above.)
   • If you already have access to the Shriners Hospitals for Children Patient Portal, see instructions here.
   • If you do not yet have access to the Shriners Hospitals for Children Patient Portal, contact the Shriners Hospitals for Children registration staff or care manager at this location to request an invitation.

Third parties may obtain medical record copies by submitting an Authorization for Disclosure of Health Information form that is completed and signed by the patient and/or legal guardian: (English) (Español).

For personal assistance with your medical record request, please contact our health information services staff at 318-226-4268, or fax your request to 318-424-4561. We can send the forms to you by fax, email or mail.

Requests for records usually take less than two weeks to complete, but sometimes, depending on the size of the records, it may take as long as 30 days. Depending on the nature of the records request, processing and printing fees may apply.

Insurance questions

Shriners Hospitals for Children — Shreveport's patient financial services are available from 7 a.m. – 4 p.m., Monday through Friday. Our staff can provide assistance with questions about insurance, costs and coverage. We accept all insurance types and companies. No insurance? No problem. We care for all patients regardless of their families' ability to pay for services.

Patient financial services

318-226-4286 (Monday–Friday)

Insurance referral coordinator (patient referrals)

318-226-3314

Registration and scheduling department

If your name, address, telephone number or insurance coverage has changed, please call the registration and scheduling department at 318-226-3313.