How to Request Your Medical Records

Information about you and your health is confidential. In order to ensure confidentiality, we require the Authorization for Use and Disclosure Form be completed for all medical record requests.

To request records, please download, print out and complete the authorization form below. You can mail the document, fax it, or drop it off at any of our 10 office locations.

*Please Note: There may be a charge associated with receiving copies of medical records.

Authorization for Use and Disclosure Form


Incomplete/incorrect authorizations can delay the release of records. If you have any questions about how to complete the authorization, please contact any of our 10 office locations or Medical Records at 619-528-4600 ext. 6516.