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 whoever 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 Disclosure of Health Information (PDF, 170 KB)
- Autorización para divulgar información de salud (PDF, 160 KB)
Mail: PO Box 235498, Encinitas, CA 92023-5498
- 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