Medical records are provided upon request for $0.25 per page. 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.
UC Irvine Medical Center and Family Health Centers (Anaheim and Santa Ana) patients
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:
UC Irvine Medical Center
101 The City Drive, Route 118
Orange, CA 92868
Patients at other locations
Gottschalk Medical Plaza
Fax your medical record authorization release form to 949-824-0213. For assistance, call 949-824-8636.
Beckman Laser Institute
Contact the institute directly for instructions by calling 949-824-7980.
Call 877-UCI-DOCS (877-824-3627) for instructions.