Request a Medical Record

If you need copies of information contained in your child's medical record, please download and print our Consent for Release of Information form and mail it to:

ARKANSAS CHILDREN'S HOSPITAL
Consent for Release of Information
Medical Record Department, Slot 109
800 Marshall Street
Little Rock, Arkansas 72202
(501) 364-1152

Note:Please allow 48 hours from receipt of your request for us to process it.

Download Consent for Release of Information form in PDF format

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