Latest update 1/26/21
Effective March 18, 2020 the Health Information Management (Medical Records)
Department will be closed temporarily. Valley Presbyterian Hospital patients
can request their medical records through our online
Patient Portal or requests can be made through secured or regular email, or by fax. For
additional information, please contact a Health Information Management
/ Release of Information employee during business hours, Monday - Friday
8:00 am - 4:30 pm at 818.902.2939 or email us via our
Contact Us page.
Medical records are official records of Valley Presbyterian Hospital activity
and are considered the property of Valley Presbyterian Hospital. You have
the right to obtain a copy of your medical records. Please provide a written
authorization request to have your medical records released.
Authorization to Release Protected Health Information form. Click here to download in English.
Click here to download in Spanish. Instructions are below to help you complete the
form, and the Health Information Management staff also is available during
business hours if assistance is needed.
Please note incomplete and/or unsigned requests cannot be processed.
General information:
Valley Presbyterian Hospital
Health Information Management Department
Attn: Release of Information
15107 Vanowen Street
Van Nuys, CA 91405
Phone: 818.902.2939
Fax: 818.781.0429
Business Hours of operation:
Monday-Friday, 8:00 AM - 4:30 PM
Closed weekends and all major holidays
Step 1
Download, print, complete and sign the Authorization to Release Protected
Health Information form. (See English or Spanish links above to download.)
Step 2
Email via our
Contact Us page, mail or fax the completed form. A readable photo ID may be required.
Requests for Medical Records Copies
- All requestors must provide a completed authorization. A photo ID could
be required.
- We ask that you specify which clinical documents you wish to receive, i.e.
discharge summary, operative report. There is no charge for the first-time
request by the patient; Valley Presbyterian Hospital will provide the
first 15 pages at no charge. There is a per page charge for additional pages.
- We will send you an invoice for the total charge for providing copies of
your medical records.
- Once payment is received, medical records will be provided.
- Requests are usually completed within 10 business days from the time of
the initial request. We will contact you in the event we experience unforeseen
delays or are unable to fulfill your request.
Requests for Continuing Medical Care
Medical emergencies will be faxed free of charge directly to a physician
or medical facility. Continuing care requests are also free of charge
and will be mailed to your clinic/physician(s) prior to your appointment.
Please indicate the date of your appointment on the authorization form
so the copies are received early enough for your physician to review them.
Please ask your physician/clinic to fax a request to Health Information
Management department.
Information such as radiology/imaging, history and physical, consultations,
operative reports, and discharge summaries are routinely provided to the
physician for continuing care.
Sensitive Information
Certain information requires a special authorization covering sensitive
information. This includes psychiatric, drug and/or alcohol abuse, HIV/AIDS,
and genetic testing. Authorizations for sensitive information must specifically
refer to the information that is to be released.
Requests for Medical Records of Deceased Patients
Requests for medical records of deceased patients require a copy of evidence
of next of kin, or executorships of the estate.
Requests for X-ray Images
Health Information Management does not have access to the actual imaging
study, although we can provide a copy of the report related to your study.
You will need to submit the Authorization to Release to Radiology form.
Radiology & Imaging Services will provide the requested images/CD.
Requests for Birth Certificates/ Death Certificates
Contact the Los Angeles County Office of Vital Records for copies of Birth
Certificates and Death Certificates.
Effective March 16, 2020 requests for Birth and Death Certificates are
available through the Office of Vital Records by mail only. No in-person
birth or death certificates will be issued until further notice. Please
visit the website link sbelow for fees and forms that are needed for your
request. Contact the Los Angeles County Registrar-Recorder/ County Clerk
for additional information.
BIRTH RECORDS
DPH Vital Records Office
Attn: Birth Section
313 North Figueroa St, Rm Lobby-1
Los Angeles, CA 90012
Phone: 213.288.7812 or 800.201.8999
Website:
http://publichealth.lacounty.gov/dca/dcabirth.htm
DEATH RECORDS
DPH Vital Records Office
Attn: Death Section
313 North Figueroa St, Rm Lobby-1
Los Angeles, CA 90012
Phone: 213.288.7812 or 800.201.8999
Website:
www.publichealth.lacounty.gov/dca/dcadeath.htm