You may request a copy of your medical records by completing the Authorization to Release Medical Information" form below and faxing it to our Medical Records department at (661) 869-6955.
There is a clerical charge of $10, plus 25 cents per page. Your request will be processed in the order it is received, generally five to seven days.
Please specify what portion of the medical record you would like copies of, for example: X-ray, lab or typed report only.
Download the Release of Medical Information Form
- Authorization Release Medical Information - English
- Authorization Release Medical Information - Spanish
For questions regarding the release of medical information, please call (661) 869-6120