How to Request a Copy of Your Medical Records
To obtain medical records copies, a signed authorization is required from
the patient or authorized representative*.
*Authorized representative includes parent of a minor patient (under 18
years of age), legal guardian, or is named in the patient’s Advance
Health Care Directive as agent to make health care decisions. Proof of
representation will be required before records will be released.
Please download, print, complete and sign one of the following authorization forms:
Visit us for
step-by-step instructions to complete the request for records.
If you are unable to download and print the authorization, a written request
is acceptable. There is
specific information that is required on all requests.
Please forward the completed request in one of the following ways:
MAIL: Hoag Memorial Hospital Presbyterian
Attn: Medical Records/Release of Information
One Hoag Drive
Newport Beach, CA 92658
FAX: Medical Records/Release of Information
Hours of Operation: Monday through Friday, 8 a.m. until 5 p.m.
Turnaround Time for Requests
Due to the large volume of requests that are received daily, your records
request will be processed within 5-7 business days. Every effort is made
to accommodate walk-in requests during normal business hours.
Records will be mailed to where you specify on your request. If you wish
to pick up your records, please note that on your request and provide
a telephone number where you can be reached. Our Release of Information
staff will call you when your records are available for you to pick up.
Picking up Copies of Medical Records
Pick up times: Monday - Friday (Closed holidays), 8:00 a.m. – 4:30 p.m.
If you plan to pick up copies of your medical records, you must provide
photo identification (state drivers license, state ID, passport, or military
ID’s are forms of valid photo identifications) in order to verify
we are releasing the information to the correct individual.
If you are unable to pick up your own records and someone else is picking
them up for you, you must provide a note giving Hoag Hospital permission
to release your information to that person. The individual must then provide
their own photo identification at time of pick-up.
specific information that is required on your note.