Medical Records
Need a copy of your medical records? Procedures for requesting your medical records varies by location.
UCI Health Community Network Locations
Looking for login to your patient portal? Learn more.
UCI Health Community Network Locations (UCI Health – Fountain Valley, UCI Health – Los Alamitos, UCI Health – Placentia Linda, UCI Health – Lakewood)
Medical Records: UCI Health – Los Alamitos
To receive copies of your medical records and images, you will need to complete an Authorization to Release Information form. Forms must be delivered in person with a Photo ID.
Direct Phone: 562-799-3246 or 562-799-3256
Fax Number: 562-799-3225
Medical Records: UCI Health – Placentia Linda
To receive copies of your medical records and images, you will need to complete an Authorization to Release Information form.
Mail forms to:
Medical Records Department
1301 Rose Drive, Placentia, CA, 92870
Direct Phone: 714-524-4846
Fax Number: 714-961-5980
Medical Records: UCI Health – Lakewood
To receive copies of your medical records and images, you will need to complete an Authorization to Release Information form.
Direct Phone: 562-602-6895
Fax Number: 562-602-6779
Medical Records: UCI Health – Fountain Valley
To receive copies of your medical records and images, you will need to complete an Authorization to Release Information form.
Mail or fax the completed form to:
UCI Health – Fountain Valley
Release of Information
11170 Warner Ave, Suite 102
Fountain Valley, CA 92708
Direct Phone: 714-966-8027
Fax Number: 714-966-3367
Birth and death certificates
Birth and death certificates are managed and issued by county health departments. To obtain a copy of a birth or death certificate, contact the health department of the county where the individual was born or died.
You will find information about Orange County’s birth and death registration here.
UCI Medical Center in Orange and related UCI Health Locations
Request Electronically: MyChart Patient Portal
You may request — and receive — most of your medical records through a UCI Health MyChart patient portal account. This online portal not only gives you access to most of your medical records, it also allows you to schedule appointments, communicate with your care team, request prescription renewals and more.
Note: Some medical records may be available only through our UCI Health Medical Records department.
Printed Copies
To obtain a printed copy of your medical records, please follow these steps:
- Download and print an Authorization for Release of Health Information form in English or download and print an Authorization for Release of Health Information form in Spanish
- Complete, sign and date the form. In order to verify your identification and validate your authorization, you are required to include a legible copy of a valid photo identification (e.g., a driver’s license, a military ID or a state ID).
- Email, fax, mail or deliver your paperwork in person.
Medical record fees: There is no charge to send your medical records to another healthcare provider. For records released directly to a patient or an authorized family member there is no charge for the first 20 pages. Additional pages are charged at $0.25 per page.
Fax
You may fax your medical records request to 888-522-3679.
Email
We accept email requests only from patients and providers at roi@hs.uci.edu
All attorney, copy service and/or subpoena requests must be delivered to the Health Information Management Department.
Mail
Mail your request for a paper copy of your medical records to:
Medical Correspondence
UCI Medical Center
Building 25
101 The City Drive South, Route 118
Orange, CA 92868
Please allow seven to 10 business days for processing from date of receipt of the completed authorization. California law permits up to 15 days to respond to requests for medical records.
Contact Us
Our hours of operation are Monday through Friday, 8 a.m. to 4:30 p.m., excluding holidays. You may reach us at:
Phone: 714-456-5670
Fax: 888-522-3679
Urgent Requests/Records for Your Physician
For immediate continuity of care, you or your healthcare providers may request that records to be sent directly to their office.
The physician's office must send a written request on business letterhead to 888-522-3679, indicating the patient's name, date of birth and date of visit. Please write "STAT" at the top of the request. For assistance, call 714-456-5670, press option 5, followed by option 2.
