Release of Health Information (Medical Records)
How to make a request
The documents below provide information on how patients can request the release of their health information (medical records) by Scripps Health, or disclosure of that information to someone other than the patient.
Please read carefully before you sign, and be aware that whomever you give your health information to must be responsible for securing it.
You can bring or fax the form to the facility where you received services.
- Authorization for Use or Disclosure of Health Information form (PDF, 65.3 KB)
- Autorización para el uso o divulgación de información médica (PDF, 74.6 KB)
Fax numbers by facility
- Scripps Memorial Hospital Encinitas
- Scripps Green Hospital
- Scripps Memorial Hospital La Jolla
- Scripps Mercy Hospital San Diego
- Scripps Mercy Hospital Chula Vista
- Scripps Clinic & Scripps Coastal Medical Center