Release of Information (ROI)

How to Request a Copy of Your Medical Records at LLUMC

Obtaining a copy of your LLUMC medical record is easy. To start your request, simply:

• Download, print, complete, and sign the Authorization for Disclosure of Protected Health Information Form:  English  |  Spanish
• Fax or mail the form to us, to the attention of the Health Information Management Office.
  • Fax: 909-651-4180
  • Mailing address:
    Loma Linda University Medical Center
    Attention: Health Information Management Department (Medical Records) 
    101 East Redlands Blvd.
    Suite 1200
    San Bernardino, CA 92408

Please be sure to sign the form. We cannot process a Release of Information (ROI) with an unsigned authorization form.

Your request to obtain your medical records will be processed and fulfilled within 15 calendar days from the day it is received. Please allow reasonable time to process your ROI request. We will either mail it to the address specified on the authorization form, or you may pick it up at our office if you make arrangements with the release of information staff. Records can be picked up between the hours of 8:00am and 5:00pm Monday - Thursday, and Friday from 8:00am - 2:00pm. There is a 25¢ per page copying fee.