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Medical Records

Medical records are provided upon request and there may be a fee. Please allow up to 10 business days to process your request.

You also may pick up your medical records at the address below Monday through Friday, 8 a.m. to 4:30 p.m.

To receive a copy of your medical records, fill out the Authorization for Release of Health Information:

Instructions for download: Right-click (PC) or CTRL-click (Mac) on the appropriate form. Select "Save Link As" and save it to your desktop. Print out the form and enter the requested information.

Mail or fax your completed form to:

Medical Correspondence
UC Irvine Medical Center
Building 25
101 The City Drive, Route 118
Orange, CA 92868
Phone: 714-456-5670
Fax: 714-456-7576