Before requesting your medical records, please consider signing up for our patient portal, MyPalomarHealth, where you can retrieve a variety of documents from your medical record. You can print and share these documents to meet your needs.
For information about how Palomar UC San Diego Health protects the privacy of your medical information, section on Privacy Policy, HIPAA.
Your written Authorization is required before we can fill a request. The other option is to simply download, print, and complete the form below.
Once you have completed the form, it can be mailed or faxed to the Medical Records Department via the address or fax number listed on the Authorization Form.
Print the Authorization Form – English version or Authorization Form – Spanish version
Due to the large number of requests we process, it may take up to 15 days to fill your request. You may make arrangements to pick up your copies by calling the department.
Frequently Asked Questions (Spanish Version)
2 request options are available for your convenience:
Option 1: Order your medical records online and follow the instructions. Please note that if you want a copy of your records on CD, you can have it mailed to you.
Option 2: Click on the “Patient & Visitors” tab at the top of the screen and then click “Medical Records Request.” The Authorization Form is available in both English and Spanish. The completed form can be sent to Palomar UC San Diego Health Medical Records/Release of Information via mail, fax or drop-off. Keep in mind that all hospital requests are processed at Palomar UC San Diego Health Escondido. For the convenience of Poway residents, the form is available at the lobby desk at Palomar UC San Diego Health Poway. The completed form can be mailed or placed in a drop box where it will be picked up Monday through Friday and forwarded to Palomar UC San Diego Health Escondido, where it will be processed (mailed or may be picked up at Palomar UC San Diego Health Escondido) and delivered per your instructions.
The Medical Records Department/Release of Information Services for Palomar UC San Diego Health is located at Palomar UC San Diego Health Escondido.
2185 Citracado Parkway
Escondido, CA 92029
Hours of Operation:
Monday through Friday: 8:00am-5:00pm
Closed all major holidays
Please call the number below if you need to speak to a Release of Information Specialist:
Phone: 760.480.7901
Fax: 760.480.7966
You may order your records online and download your records when ready. All requests for Palomar UC San Diego Health Poway and Palomar UC San Diego Health Escondido are processed at Palomar UC San Diego Health Escondido.
If you would like to request copies of your X-rays or radiology images, please call Medical Records at the location where you had your imaging done.
Palomar UC San Diego Health Escondido: 760.480.7901
Palomar UC San Diego Health Poway: 858.613.4652
Jean McLaughlin Women’s Center: 858.613.6145
Due to the large number of requests we process, it may take up to 15 days to receive your records. Incomplete authorization forms will not be processed and will be returned. Also, the Medical Records Department does not provide billing information. Please call 858.225.3130 if you have questions about your bill.
- All portions of the form must be completed.
- Select a facility from which you would like to request the medical records.
- Provide the name of who you want the records released to. A complete address is required.
- Records can be sent to multiple people; however, a separate request is required for each request.
- Information to be released section: select and initial the specific information to be released.
- See fees for record copies below.
- Select a reason for requesting the records. You can select more than one reason.
- Provide an expiration date for your authorization.
- Provide signature of patient or legal representative, date/time, the patient’s printed name, the patient’s date of birth and phone number.
- If the legal representative is signing the authorization, supporting documentation must be provided, for example, durable power of attorney for healthcare.
- If the patient is deceased, a copy of the Will or Death Certificate must be provided in order to validate the authority of the person making the request. A DPOA-HC is no longer valid for an expired patient.
- Order your records online and follow the instructions.
- Indicate on the Authorization Form that you want Medical Records to send a copy to your doctor and provide the name and address.
There is no charge for copies of records sent directly to your doctor for continuing care. Indicate the physician’s name and address on the authorization form. In most cases, the specific medical information indicated on the authorization from the requested stay is provided free of charge. This may include pertinent information: ER reports, discharge summary, history and physical, operative report, pathology report, labs and radiology reports. The entire record of an inpatient stay consists of all of the above, plus daily physician progress notes and orders, nurse’s notes, and consents. Requests for the entire printed medical records or multiple visits are charged at 25 cents per page.
Contact Information
Palomar UC San Diego Health Escondido
Attn: Medical Records Department
2185 Citracado Parkway
Escondido, CA 92029
Phone: 760.480.7901
Fax: 760.480.7966