Moore County Hospital District
Moore County Hospital District
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    • HOME
    • SERVICES
    • DOCTORS
    • PATIENT INFO
    • ABOUT
    • CONTACT
  • HOME
  • SERVICES
  • DOCTORS
  • PATIENT INFO
  • ABOUT
  • CONTACT

medical records

Requesting Records

Patients in need of physical copies of their Medical Records may obtain them as needed by contacting the Medical Records department of Moore County Hospital District at (806) 935-7171.


Medical Records can only be obtained by the actual patient or the legal guardian of the patient.  You will not be able to obtain the Medical Records for individuals whom you are not legally responsible due to federal HIPAA regulations.

Forms

Forms needed to request medical records are included below for your convenience.  Please download and bring the completed forms with you to speed up the process.

BIRTH CERTIFICATES & Social security cards

Stack of certificates stating "Certificate of Vital Record"

Birth Certificates

MCHD will provide parents of babies born with us a complimentary memento certificate with your baby’s footprints on it.  


The original birth certificate will be filed at the Moore County Clerk’s office (806) 935-2009 located at the County Clerk's office in Room 7 on the first floor of the Moore County Courthouse located 715 South Dumas Ave.

You may pick up the certified copy 2 weeks from the date of birth. The charge to pick up the certified copy of the birth certificate is $23.00 cash or debit card only. You must also show government issued identification.  The form to bring to the courthouse is available below for your convenience.


You may also get more information from the County Clerk's office by clicking HERE or you may also obtain a copy of a birth certificate of children not born at MCHD through the Texas Vital Statistics department of the Texas Department of State Health Services online by clicking HERE.

Rendering of a blank social security card

Social Security Cards

Your baby’s Social Security card should come in your mail approximately 4 to 6 weeks after the date of birth. If it does not arrive within 6 weeks, please contact 1-800-772-1213 for any and all Social Security questions.


If you have any questions please contact our Medical Records Department at 806-935-7171.

FORMS FOR DOWNLOAD

The following forms are provided for your convenience.  Please download the form you wish to use. 

For Medical Records; bring the completed form(s) with you to the MCHD medical records department.  

For Birth Certificates: take the completed forms to the Moore County courthouse, along with a $23 payment for a copy of the birth certificate.

2023 Release of Information Form (pdf)

Download

Application for Certification of Birth (pdf)

Download

Moore County Hospital District

224 East 2nd Street, Dumas, Texas 79029, United States

8069357171

Copyright © 2023 Moore County Hospital District - All Rights Reserved.