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Patient Health Information (Medical Records)

Patient Authorization to Release Health Information

Children's Hospital & Medical Center's Health Information Department offers you the ability to download, print and return a Request for Health Information (Medical Records) Form via these links below:

  • English authorization to release health information
  • Spanish authorization to release health information (Autorización para dar Información de Salud)


    Patient CD Instructions

    Please contact our Health Information Department via phone at (402) 955-3800 to learn how to receive your health records on a CD.

  • Hours & Location

    8552 Cass Street 2nd floor
    Omaha, NE 68114

    Monday – Friday 8 a.m. -5 p.m. Closed on Holidays