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Medical Information Release
You may request a copy of your medical records by completing the "Authorization to Release Medical Information" form (download in PDF format below) and faxing it to the HIM Dept 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 5-7 days.
Please specify what portion of the medical record you would like copies of, for example: X-ray, lab or typed report only.
For questions regarding release of medical information please call the HIM Dept at 661-869-6120.
Download the forms here:
Authorization Release Medical Information - English (PDF)
Authorization Release Medical Information - Spanish (PDF)
