{"id":256,"date":"2020-07-06T11:15:20","date_gmt":"2020-07-06T11:15:20","guid":{"rendered":"https:\/\/dhs.lacounty.gov\/rancho\/medical-record-request\/"},"modified":"2024-12-20T13:28:58","modified_gmt":"2024-12-20T21:28:58","slug":"patient-medical-records","status":"publish","type":"page","link":"https:\/\/dhs.lacounty.gov\/rancho\/patient-and-visitor\/patient-medical-records\/","title":{"rendered":"Patient Medical Records"},"content":{"rendered":"

[vc_row][vc_column][vc_column_text]To request a copy of your medical record, download the PHI forms below click the link and print, fill out and sign the forms on this page and fax or mail them back to Rancho Los Amigos, attention “Release of Information, Health Information Department.” You may also provide the form to our office in person.<\/span><\/p>\n

For more information, please contact:<\/strong><\/p>\n

Rancho Los Amigos National Rehabilitation Center<\/span>\u00a0<\/span><\/p>\n

SSB\/HIM-Medical Records<\/span>\u00a0<\/span><\/p>\n

7601 Imperial Hwy\u00a0<\/span>\u00a0<\/span><\/p>\n

Downey, Ca 90242\u00a0<\/span>\u00a0<\/span><\/p>\n

\u00a0<\/span>(562) 385-7121\/7122 Fax # (562) 803-0167<\/span><\/p>\n

Hours of operation:\u00a0\u00a0<\/strong><\/p>\n

8:00 am \u2013 4:30 pm<\/span>\u00a0<\/span><\/p>\n

Monday \u2013 Friday<\/span>\u00a0<\/span><\/p>\n

(Closed all official County Holidays)<\/span>\u00a0<\/span>[\/vc_column_text]

Authorization for Use and Disclosure of PHI - HS1015 form \u2013 English<\/span><\/a><\/div>
Authorization for Use and Disclosure of PHI - HS1015 form \u2013 Spanish<\/span><\/a><\/div>[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

[vc_row][vc_column][vc_column_text]To request a copy of your medical record, download the PHI forms below click the link and print, fill out and sign the forms on this page and fax or mail them back to Rancho Los Amigos, attention “Release of Information, Health Information Department.” You may also provide the form to our office in person. 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