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CHOC Children's

CHOC Patients & Family :: Request Medical Records

If you would like copies of your or your child's medical records, please complete the following authorization form and return it to CHOC either via fax, mail or email.

Click on the following for Authorization for Use or Disclosure of Health Information
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Send your form by mail to:
CHOC - HIM Department
1201 West La Veta
Orange, Ca 92868

Fax:       714-509-8388
Email:    requestrecords@choc.org 
Phone:   714-509-4368 if you have any questions or would like to speak to one of our correspondence representatives.
 

Please allow approximately 7-10 working days to process your request. There is a small fee for copying of 25 cents per page or 50 cents per page if the record is on fiche or film. (If you would like to be notified of the fee ahead of time, please indicate that on your correspondence.) There is no fee if the records are sent directly to the requesting physician's office.

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