Medical Records

Request, review or send copies of your medical records.

Quick steps

1. Download and complete the Authorization to Release Medical Information form
2. Sign and date the form
3. Submit the form by fax, mail or in person

Download authorization form

• Authorization to Release Medical Information (English)
• Authorization to Release Medical Information (Español)

How to submit your completed form

In person
Drop off your completed form at your primary care clinic.
Find clinic hours

By mail
Family Health Centers of San Diego
823 Gateway Center Way
San Diego CA 92102

By fax
(619) 798-3696
Attn: Release of Information

What records can be requested

A patient or their legal representative may review or obtain copies of medical records or request that records be sent to another health care provider or facility.

Family Health Centers of San Diego requires a completed and signed Authorization to Release Medical Information form before releasing medical records, including to the patient. In certain cases, approval from a physician, psychologist or social worker may also be required.

Please specify which components of your medical record you would like to receive.

Additional authorization required
Additional authorization is required for requests involving any of the following information:

• Psychiatric care
• AIDS/HIV
• Substance use
• Fertility treatment

Processing time, fees and identification

Processing time
Please allow seven to 10 calendar days for processing. If you requested records for personal use, the Health Information Management (HIM) department will contact you when your records are ready.

Fees

• Paper copies: $5 for five pages or fewer; $5 plus 20 cents per page for six or more pages
• Electronic copies (CD): $15

Identification requirements
A valid government-issued photo ID is required. If someone other than the patient is picking up records, they must present the patient’s original signed authorization form and a valid photo ID.