Medical Records

We are here to provide you with your medical records, and strive to fulfill your request timely while ensuring your privacy. The following information will help guide you in the options available and provide FAQs and contact information if you have any questions.

Obtaining Your Medical Records

Option 1: Request medical records via your myUCLAhealth account

If you have not signed up for myUCLAhealth, go to How to Sign Up for myUCLAhealth for instructions.

  1. Log in to myUCLAhealth portal 
    (Request for medical records can only be accessed via PC, mobile devices are not supported at this time)
  2. Follow instructions using links below:

For assistance with your myUCLAhealth account, call 855-364-7052.

Option 2: Follow this link to complete the medical record authorization form electronically.

  1. Have your photo identification ready and follow the prompts.
  2. Once completed the form will be sent to our HIM team directly.

Option 3: Download and print the authorization for Release of Health Information form.

  1. Download and print the authorization form for Release of Health Information for Patient or a third-party (i.e. Non-UCLA Provider, Insurance Company, Attorney, etc.).
  2. Complete and sign the form.
    Please Note: electronic signatures are not accepted at this time.
  3. Submit completed form via email, fax, or mail.
    Email: [email protected]
    Fax: 310-983-1468
    Mail:
    UCLA Health
    Health Information Management Services
    10833 Le Conte Ave., CHS, BH-902
    Los Angeles, CA 90095

    Please note: Unsigned and/or incomplete requests will not be processed and will be returned to requestor.

Medical Record Copy Fee

UCLA Health will invoice you for the production of records, and will invoice you by mail/email. Please see our Frequently Asked Questions.

Contact Information

Business Hours: 8:00 am to 4:30 pm, Monday to Friday
Phone: 310-825-6021
Fax: 310-983-1468
Email: [email protected]
Mailing Address:
UCLA Health
Health Information Management Services
10833 Le Conte Ave., CHS, BH-902
Los Angeles, CA 90095

STAT Request

(For physicians and hospital use only)

If you are a physician or hospital and your request is urgent, please fax your request to 310-206-4831.

If you are requesting additional information such as radiology imaging, pathology slides, or billing information, please contact the corresponding department below directly:

Request to Amend your medical record

Option 1: Request to amend or add an addendum to your health record via your myUCLAhealth account.

  1. Log in to myUCLAhealth portal and fill out the online form. 
    Request to amend your health record can only be accessed via PC. Mobile devices are not supported at this time)
    For assistance with your myUCLAhealth account, call 855-364-7052.

Option 2: Download and print the amendment form to Request to Amend Protected Health Information (PHI)

  1. Download and print the Request to Amend Protected Health Information (PHI) form
  2. Complete and sign the form.
    Please note: electronic signatures are not accepted at this time.
  3. Submit completed form via email, fax, or mail.
    Email: [email protected]
    Fax: 310-794-1616
    Mail:
    UCLA Health
    Health Information Management Services
    10833 Le Conte Avenue., CHS BH-921
    Los Angeles, CA 90095

For additional information, visit our Frequently Asked Questions.