Medical Records - Health Information Management Systems (HIMS)
How to Inspect or Request a Copy of Your Medical RecordPatients, or their personal representative, may inspect or obtain copies of their Lucile Packard Children's Hospital medical records or have copies sent to another medical facility by following these instructions:
- Lucile Packard Children's Hospital is required under the State of California's Confidentiality of Medical Information Act to obtain an original, complete and properly executed Authorization for Release of Health Information form - English version / Spanish version - before we may allow inspection or provide a copy of a patient's records to anyone, including the patient or their representative. In certain cases a patient's physician, psychologist or social worker may also be required to approve a request.
- To inspect or request a copy of your or your child's records, please print and complete the Authorization for Release of Health Information form - English version / Spanish version. In completing the authorization form, please indicate the dates of treatment for which you are requesting information. This is particularly important for patients that have had multiple episodes of care at Lucile Packard Children's Hospital. You will also need to indicate the type of records you need and must specifically initial requests for information regarding AIDS/HIV, Psychiatric Care, or Alcohol/Drug Abuse.
- While many parents request their child's entire medical record, our experience has shown that the summary information in documents such as Discharge Summaries, Operative Reports, and History & Physicals contain the information that most people are seeking. If you are not sure what information you need from your records, please give us a call at (650) 497-8079 or drop by our office. Also, if you are requesting Radiology Images, Telemetry Tapes or Photos, they are not part of your medical record (i.e., your official records contain the reports that interpret those images, tapes and photos). You will need to contact the service that collected the data to receive a copy. The Radiology Film Library phone number is (650) 497-8376 and choose option 3.
- Your or your child's medical records do not contain Billing Statements, our Patient Financial Services department maintains that information. The Financial and Insurance Information section of this web site contains instructions on how to obtain billing data.
Bring the form to our satellite office:
Health Information Management Services (Medical Records)
750 Welch Road, Suite 214
Palo Alto, CA 94304
Phone: (650) 498-7013
Hours: Monday - Friday, 8:30 am-4:30 pm, except Holidays
Mail the form to:
Health Information Management Services, LPCH
4700 Bohannon Drive
Mail Code: 5900
Menlo Park, CA 94025
Please allow 5 to 15 working days for your request to be processed. You will be contacted by the Release of Information Office when your records are ready for inspection, pick-up, or mailing. When you come to the Release of Information Office to inspect or pickup your request, please bring a photo ID. If an individual other than the requestor is inspecting or picking up the records, then that individual will need an original signed authorization letter from the requestor and a photo ID.