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Request Medical Records

En Español

If you need copies of your child’s entire medical record, please download, print and complete the Consent for Release of Information form below. Once complete, you can fax, mail or deliver it to us, and we will be happy to assist you. Our goal is to complete this request within 7-10 business days. If you have questions or concerns, call us at 501-364-1152.

Consent and Release Forms
Download Consent for Release of Information (English)
Download Consent for Release of Information (Spanish)

Authorization to Release Health Information to Schools (English)
Authorization to Release Health Information to Schools (Spanish)

Our Mailing Address
Arkansas Children's Consent for Release of Information, Medical Records Department
Slot 109
1 Children's Way
Little Rock, Arkansas 72202

Submit Your Request Electronically

You can also submit a request for your child’s medical records online through a secure portal. Arkansas Children’s has partnered with CIOX to assist you with your online medical record requests.

Please note: There is an electronic fee for this request, and additional fees may apply for mailing paper records to you. If you have questions about these fees, please call 501-364-1152 and request a fee approval prior to submitting your online request, or mail us a completed Consent for Release of Information form.

Request medical records online

State Health Alliance for Records Exchange (SHARE)

Arkansas Children's is a participant in State Health Alliance for Records Exchange (SHARE). SHARE is part of the state's Health Information Exchange (HIE). As a participating hospital, your health information will be made available to your participating health care providers unless you opt out. Please download some frequently asked questions and decide if you wish to participate. If you have questions, please contact Health Information Management at 501-364-1152.