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
    949-764-8237

PHONE: 949-764-8326

Hours of Operation: Monday through Friday, 8:00am until 4:30pm

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.

Find specific information that is required on your note.