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Medical City Las Colinas
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Patient Forms

We are pleased to have you as our patient at Medical City Las Colinas and are committed to helping you in any way possible. Here you can find some policies and forms that may be of assistance to you during and after your stay.

Need to get copies of your medical records?  Use the following information to request copies.

All forms may be faxed to CIOX Health at (469) 484-2006 or submitted in person to the concierge from 8:00am - 8:00pm daily.

Please understand your physician can request the information on your behalf and receive the information electronically.

You may also phone CIOX Health at (888) 749-7952.

For Film requests fax the Release of Medical Information Form to:

Main Radiology: (972) 969-2503