Medical Record Request Forms

REQUESTING MEDICAL RECORDS

Reproductive Medicine Associates of Southern California understands and acknowledges the need for our patients to have access to their personal medical records. Medical release authorization forms can be accessed and downloaded below. Depending on how you are submitting your request for medical records, please allow at least 1-2 weeks of processing time. Digital delivery like email or fax may take the shortest time, compared to hard copy requests that need to be mailed.

Completed medical release forms may be faxed to 424.293.8842 or dropped off in person.

DOWNLOAD YOUR MEDICAL RELEASE FORMS BELOW