Request Your Medical Records:
Step 1: Download and complete the Authorization for Release of Health Information form.
Step 2: Submit completed authorization form by:
- Email: firstname.lastname@example.org
- Fax: (909) 557-1736, Attn. Medical Records Dept
- In person at:
Medical Records Department
1801 Orange Tree Lane, Ste 200
Redlands, CA 92374
Monday – Friday, 8-11 am and 2-4 pm
Step 3: Please allow up to 14 business days for records to be processed.
Step 4: Pick Up and Pay for Records
Fee Schedule for Records Processing:
Patient, Attorney and Copy Service Fees:
$0.25 per printed page + postage if mailed.
$6.50 flat rate if faxed (limit of 25 pages)
$15.00, plus $0.10 per printed page.
Note: Subpoenas must either be served in person or by mail.
No subpoenas will be accepted by fax.
If you have any questions please call our medical records department at 909-557-1600 x 690