Loma Linda University Behavioral Medicine Center is committed to protecting your privacy. Your medical records hold important and often sensitive information about your own health; therefore, hospital staff members take special care to make sure confidentiality is upheld and that they comply with federal and state requirements.

Patients may experience adverse effects that can have detrimental consequences when reviewing their own records, therefore, their attending physician will determine who may access their mental health records.

Authorization for Release of PHI Medical Records

English (PDF)

Spanish (PDF)

Sample (PDF)

View all other medical records forms

Email

[email protected]

Phone

909-651-4853

Fax

909-651-4856

Mail to

Loma Linda University Behavioral Medicine Center
1710 Barton Rd
Redlands, CA 92373

In person

Loma Linda University Behavioral Medicine Center
1710 Barton Road
Redlands, CA 92354

Hours

Mon. – Thu.: 9  a.m. - 3 p.m.
Fri.: 8 a.m. - 12 p.m.