Medical Records

Patients have the right to view copies of their medical records upon request. Signed request forms must be submitted to the medical records office detailing the specific materials desired. Requests typically take up to five working days to process, but the duration may extend to 15 days depending on the volume of requests received. Efforts will be made to prioritize requests when possible. In addition, there may be a minimal charge for copying the material that will be provided to you. You can refer to the Patient Fee Schedule for cost associated with obtaining copies of medical records.

For More Information 

• Phone 951-290-4510 
• Email MurrietaHIM@llu.edu   
• Fax: You may also fax record requests to 951-290-4944.

Our mailing address is:

101 E. Redlands Blvd., Suite 1200
San Bernardino, CA 92408

Office Hours

Request drop-offs and/or pick-ups are made by appointment only. Please call ahead to schedule a time for a Release of Information Representative to meet with you.

Monday - Thursday, 9 a.m. - 4 p.m. (Closed for lunch from 12:00-1:00 p.m.)

Friday - 9 a.m. - 2 p.m. (Closed for lunch from 11:00-12:00 p.m.)

Forms

• Authorization for disclosure of PHI from a facility outside the LLUAHSC OHCA to a LLUAHSC entity
• Autorización para la revelación de información médica protegid
• Health information exchange electronic network opt-out consent-Spanish
• Health information exchange electronic network revocation of opt-out-Spanish
• Health information exchange electronic revocation of opt-out
• Health information exchange opt-out consent
• Request to Amend Protected Health Information: English | Spanish

If you are having difficulty accessing the form, please e-mail MurrietaHIM@llu.edu and a PDF version of the form will be e-mailed to you in response.