Request for Release of Health Information

If you wish to authorize the release of your health information (medical records) please complete the UCR Health Authorization for Release of Health Information form which may be obtained from your healthcare provider or can be downloaded here. When completing the form, please mark only the information that you wish to be released.

Return the completed authorization to one of the following:

  • Your physician’s office
     
  • Mail to:
    University of California Riverside
    Attention Compliance
    14350-2 Meridian Parkway
    Riverside, CA 92508
     
  • Fax to:
    951.263.7271

Please allow 2 weeks for processing authorized requests.

For questions regarding submitted requests please call 951.827.4672 for assistance.

You may also access and review your test results, upcoming appointments and communications with your provider by accessing MyChart Patient Portal.

Additional access to your records can be scheduled through the Compliance Office by calling 951.827.4672.