Medical Records from St. Mary Medical Center, Apple Valley

Medical Records and Imaging CDs 

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 5-7 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. If you have any questions regarding the fees, please call (760) 242-2311 Ext. 6115.

You may download, print and complete the Authorization for Use or Disclosure of Health Information:

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
  • Indicate if Radiology/Imaging CDs are needed and date and type of image: Chest X-ray, CT, MRI.  Please note there may be a fee associated with burning of CDs.

Mail, Email or FAX your completed request to:

St. Mary Medical Records
Health Information Management Dept.
Attn: Release of Information
18300 Highway 18
Apple Valley, CA   92307

Personally Deliver to:

Health Information Management Dept.
16071 Kasota Rd., Suite 401
Apple Valley, CA   92307

Phone Number: 760-242-2311, Ext. 6100    


FAX Number: 760-946-4219  

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 FollowMyHealth patient portal

If picking up 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, patient authorization and provide photo ID.  

Radiology/Imaging CDs are available at the Radiology/Imaging Departments:

St. Mary Medical Center Radiology/Imaging CDs are available at the St. Mary Medical Center, 18300 Highway 18, Apple Valley