Guide to Obtaining Your Medical Records

Valley Presbyterian Hospital patients can request their medical records through our online Patient Portal or requests can be made through email, or by scheduling an appointment with a Release of Information Specialist. For additional information, please contact a Health Information Management / Release of Information Specialist during business hours, Monday - Friday 8:00 AM - 4:30 PM at 818.902.2939 or email us via our Contact Us page.

Please provide a written authorization request to have your medical records released. Download and print the Authorization to Release Protected Health Information form:

Click here to download in English. Click here to download in Spanish.

Instructions are below to help you complete the form, and the Health Information Management staff is also available during business hours if assistance is needed.

Please note incomplete and/or unsigned requests cannot be processed.

General Information:

Valley Presbyterian Hospital
Health Information Management Department
Attn: Release of Information
15107 Vanowen Street
Van Nuys, CA 91405

Phone: 818.902.2939
Fax: 818.781.0429

Business Hours of operation:
Monday-Friday, 8:00 AM - 4:30 PM
Closed weekends and all major holidays

Step 1

Download, print, complete and sign the Authorization to Release Protected Health Information form. (See English or Spanish links above to download.)

Step 2

Email via our Contact Us page, mail or fax the completed form. A readable photo ID may be required.

Requests for Medical Records Copies

• All requestors must provide a completed authorization. A photo ID could be required.
• We ask that you specify which clinical documents you wish to receive, i.e. discharge summary, operative report. There is no charge for the first-time request by the patient; Valley Presbyterian Hospital will provide the first 15 pages at no charge. There is a reasonable, cost-based charge for additional pages.
• We will send you an invoice for the total charge for providing copies of your medical records.
• Once payment is received, medical records will be provided.
• Requests are usually completed within 10 business days from the time of the initial request. We will contact you in the event we experience unforeseen delays or are unable to fulfill your request.

Requests for Continuing Medical Care

Medical emergencies will be provided free of charge directly to a physician or medical facility. Continuing care requests are also free of charge and will be provided to your clinic/physician(s) prior to your appointment. P

Sensitive Information

Certain information requires a special authorization covering sensitive information. This includes psychiatric, drug and/or alcohol abuse, HIV/AIDS, and genetic testing. Authorizations for sensitive information must specifically refer to the information that is to be released.

Requests for Medical Records of Deceased Patients

Requests for medical records of deceased patients require a copy of evidence of next of kin, or executorships of the estate.

Requests for Birth Certificates/ Death Certificates

Contact the Los Angeles County Office of Vital Records for copies of Birth Certificates and Death Certificates.

Please visit the website links below for additional information.

BIRTH RECORDS

DPH Vital Records Office
Attn: Birth Section
313 North Figueroa St, Rm Lobby-1
Los Angeles, CA 90012

Phone: 213.288.7812 or 800.201.8999
Website: http://publichealth.lacounty.gov/dca/dcabirth.htm

DEATH RECORDS

DPH Vital Records Office
Attn: Death Section
313 North Figueroa St, Rm Lobby-1
Los Angeles, CA 90012

Phone: 213.288.7812 or 800.201.8999
Website: www.publichealth.lacounty.gov/dca/dcadeath.htm