Medical Records from St. Mary Medical Center

Medical records are maintained by the hospital for the time period required by the State of California.

How to Request a Copy of your Medical Record

According to the State of California’s Confidentiality of Medical Information Act, the hospital must receive a complete and properly executed Authorization before providing a copy of the patient’s records to anyone, including the patient. In certain cases, a patient’s physician or psychologist may also be required to approve a request. Authorizations signed by a patient representative must include a copy of the durable power of attorney, guardianship, etc.

Most requests are processed in 7-10 business days. Large requests may require additional time and are processed by the hospital’s contracted vendor. Please note there may also be a fee associated with large requests.

Information on how to request a copy of you medical record:

Complete all sections of the authorization form:

  • Indicate the dates of treatment/admissions for which you are requesting information
  • Indicate the type of records needed, i.e. Lab results, x-rays
  • Initial specific sections on form if requesting information regarding HIV test results, Mental Health treatment or Alcohol/Drug treatment

Mail, email or fax your completed request to:

Providence St. Mary Medical Center
Health Information Management Department
Attn: Release of Information
18300 Highway 18
Apple Valley, CA 92307

Phone: 760-242-2311, Ext. 6100
FAX: 760-813-4434

Hours of operation

Monday - Friday, 8 a.m. - 4:30 p.m. (closed weekends and holidays)

You can also access and download a portion of your health information from your latest inpatient hospital stay on-line through the MyChart patient portal.

Arrangements can be made to pick up copies of records in person; photo ID is required. The patient may sign a letter authorizing another individual to pick up the medical records. This individual must present the letter and provide photo ID.

For Radiology/Imaging CDs

Please call the Radiology/Imaging department: 760-242-2311, Ext. 4500.