Release of Information

Here you'll find information regarding Health Information Management's Release of Information services. Forms and information regarding how to request your medical records can be found below. You may also visit our frequently asked questions page for more information.

How to Request Medical Records

Requesting medical records from UC Davis Health 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 form must be submitted to our department through one of the following methods:

UC Davis Health
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. - 4:00P.M., excluding holidays



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. Once you have established care at UC Davis Health, your external primary care physician or any other external specialty doctor can qualify to receive access to your medical records through one of the HIE methods below.

EPIC PhysicianConnect

If your external provider does not use the EPIC electronic medical record system, they can view and pull your UC Davis Health medical records electronically through the EPIC PhysicianConnect system. They can enroll online at

EPIC CareEverywhere

If your external physician is a member of a health system that already uses the EPIC electronic medical record system, they can view and pull your UC Davis Health medical records electronically through the EPIC CareEverywhere module. No enrollment is required for this feature. Your external provider can use their EPIC system to retrieve the medical records.


Note: 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 Health’s HIE, you can easily do so when checking in for your next visit at UC Davis Health, or by completing the UC Davis Health Information Exchange Patient Opt-out Form and mailing it back to the Health Information Management Department at the address below. By opting out of HIE, you are agreeing to be removed from all HIE electronic portals.

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


If you or your external physician have questions about medical records, please contact UC Davis Health’s Health Information Management Department at 916-734-5205 (hours are Monday to Friday, 8 a.m. to 4 p.m., excluding holidays).