Requesting Medical Records

For current and former patients seeking to verify medical records, including appointment history, a completed authorization for disclosure of health information form (PDF) must be signed (e-signatures are not accepted) and submitted with a copy of a government-issued ID to the Health Information Management Office by fax at (213) 740-4961; the form and documentation (clear photo of the documents, or scans) may be also be submitted by email to

Please visit the university’s FAQ page for related information.