Medical Records

​There are times when it may be necessary to request your medical records from Adventist Health Glendale (AHGL). It is your right to view your medical record, and you may receive a copy for a fee. To make this process easier, AHGL provides the following instructions.

How do I request copies of my medical records?

You must complete an authorization form to have your records released. You can obtain the authorization form by one of the following methods:

  • Download and print the Authorization to Release or Inspect Patient Health Information form and mail it directly to AHGL at the address below:
  • Adventist Health Glendale
    Health Information Department
    1509 Wilson Terrace
    Glendale, CA 91206
  • Request an authorization form in person. Visit Health Information Management (HIM) in AHGL's East Tower, located at the address above (adjacent to the main entrance). HIM is open Monday-Friday, 8AM to 5PM.
  • A HIM representative would be happy to mail, email or fax an authorization form to you. Call (818) 409-8171, Monday-Friday, 8AM to 5PM, to request the form. Then mail the form to the address above or fax to (818) 545-1872.

How long does it take to get copies of my medical records?

The normal processing time for a request for medical records is 14 business days.

What is the cost for copies of medical records?

The cost for a copy of your medical records is $6.50 and 25 cents per page. Payment is due at the time of request. The cost is different if the records are requested by your insurance company or an attorney. There is no charge when records are requested by your physician.

Related Requests

Diagnostic Images/X-rays: Health Information Management does not process requests for copies of diagnostic images, such as X-rays, MRI scans and CT scans. If you need to get a copy of your diagnostic image, please contact the Radiology department at (818) 863-4185.

Cardiology/Cath lab: Health Information Management does not process requests for copies of Cardiology/Cath lab images, such as Angio, heart cath, Echos, please contact the Cardiology department at (818) 863-4250.

Birth Certificates: For questions about birth certificates, call Adventist Health Glendale's birth certificates office directly at (818) 409-8000 ext. 6098.

Hospital Bill: If you have a question about your Adventist Health Glendale bill, call (818) 409-8200 or visit our Financial Services page. Please note: If you have a question about your physician’s bill, contact your physician’s office directly.

For additional questions or concerns, call (818) 409-8171, Monday-Friday, 8 a.m. to 5 p.m.