- Authorization to Release Medical Information (English)
- Authorization to Release Medical Information (español)
Please allow us time to process your request. The legal maximum time to fulfill a request in California is 15 days, although we strive to process requests sooner. We will contact you if your request will be delayed or if we cannot fulfill your request.
Office Locations
Our walk-in services are open Monday – Friday, 8:30 a.m. – 4:30 p.m. at four locations for the following services:
- Patient records requests
- Subpoenas
- Legal drop-offs
Note: On-site records requests can be dropped off during these hours, but same-day pickup is not available. In-person pickups are only by appointment.
- Hillcrest Medical Center
200 W. Arbor Drive, Room 1-115
San Diego, CA 92103 - Perlman Medical Offices
9350 Campus Point Drive,
San Diego, CA 92037 - UC San Diego Health Business Office
6200 Greenwich Drive, Room 1-193
San Diego, CA 92122 - East Campus Medical Center
6655 Alvarado Road,
San Diego, CA 92120
View more info
Fees for Paper Copies
For paper records that are released directly to a patient or an authorized family member, the first 20 pages are free and additional pages are 25 cents each.
There is no charge for:
- Records delivered electronically through MyUCSDChart
- Paper records that are sent directly to another health care provider
Requests for Radiology Records / X-Ray Images
All imaging results — including computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, and others — are released to a patient's MyUCSDChart account automatically. Normal results are released four days after the result is available. Abnormal results are released seven days after the result is available.
For imaging records prior to 2018, you can request your records via MyUCSDChart or by submitting the authorization forms above. Radiology may be able to release images by email or mail. For other questions about the release of X-rays and other images, please contact Radiology/Imaging Services at 619-543-6586, Option 4, or email at digitallibrary@health.ucsd.edu.
Fax Requests from Other Providers
For immediate continuity of care requests, you or your health care provider can request that records are sent directly to their office. Use the form above, or your provider’s office can fax a written request on business letterhead to 619-543-7128. They should include the patient's name, date of birth, and date of visit or information requested. Please write "STAT" at the top of the request.
Note: Please mail all subpoena-related documents, non-patient directed requests, and/or audit requests. See our mailing address.
Other Requests Related to Your Health Record
For any of the following requests, please see our Privacy Practices page for complete instructions:
- Amending your health record or adding an addendum to your health record
- Receiving a list of disclosures we have made of your health record
- Confidential communications about your health information
- Restricting or limiting the health insurance information we disclose
Sharing Your Information with Other Providers
Important Information About Requesting Medical Records
To ensure your request is fulfilled quickly, please be aware that:
- Requests cover records related to care at all UC San Diego Health locations, except Rady pediatric clinics, occupational medicine clinics, and Shiley Eye Institute. Please contact those clinics directly.
- Authorizations MUST contain the following information. If any of these items are missing from the form or if the form is not signed and dated, your request will be returned.
- Patient information:
- Patient’s full name (list any other names the patient may have had)
- Date of birth
- Medical record number (if available)
- Legal guardianship papers
- Advance directive or health care power of attorney, for patients unable to make health care decisions
Download in English and Spanish - Designation of a personal representative, which allows the representative to act on the patient's behalf with regard to personal health information
Download in English | Download in Spanish
Mailing Address and Fax Number
UC San Diego Health
Attn: Health Information Management
200 West Arbor Drive, #8825
San Diego, CA 92103Contact Us
Do you still have questions? We are here to help, Monday to Friday from 8 a.m. to 5 p.m. We are closed on weekends and holidays. Call 619-543-6704 and select option 5.
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