Release of Information

Here you'll find information regarding Health Information Management's Release of Information services. We have provided the forms necessary to request your medical records. You may also contact Health Information Management to check the status of your existing request using our email form. Some types of record requests are processed by Healthport, our in-house copy service. See the table below and our frequently asked questions page for more information.

How to Request Medical Records

Requesting medical records from UC Davis Health System is accomplished using the HIPAA compliant forms below.



All forms are in Adobe PDF format. If you are unable to view the forms, use to button below to download the latest version of Adobe Acrobat Reader.

The authorization forms must be submitted to our department. The forms can be filled out at our location, mailed, faxed, or scanned and sent via email. Please use our contact information below.

UC Davis Health System
Health Information Management
Medical/Legal Release of Information Unit
2315 Stockton Blvd., Bldg #12
Sacramento, CA 95817

Fax: 916-734-2126


Front Desk Hours:

Monday-Friday 8:00A.M. - 5:00P.M.



Health Information Exchange

A health information exchange (HIE) allows your health care providers to share your most recent medical information with participating doctors’ offices, hospitals, labs, radiology centers and other providers participating in your care, through secure, electronic means. The purpose is to give each of your participating caregivers access to the most up-to-date information available.

Patients are automatically set to opt in to HIE, meaning information will be shared with participating physicians and health care providers unless you provide instructions to opt out. If you wish to opt out of participating in UC Davis HIE, you can easily do so when checking in for your next visit to UC Davis, or by completing the UC Davis Health Information Exchange Patient Opt-out Form and mailing it back to Health Information Management Department at:

Health Information Management Department
UC Davis Medical Center
2315 Stockton Blvd., Building 12
Sacramento, CA 95817