Medical Records

To request a copy of a child's medical records, please complete the health information release form or send us a written request with the child's medical record or unit number, full name, Social Security number and your signature to authorize release of this information. If you don't have your child's medical record number, please provide your child's birth date and Social Security number. Please specify your relationship to the patient and send your request to the following address:

UCSF Children's Hospital
ATTN: Medical Records, Box 0308
Release of Patient Records
185 Berry St., Suite 2000, Lobby 1
San Francisco, CA 94143-0308

You also may submit your request in person at the Medical Records office. We do not accept email or fax requests.

Your request will be processed within 15 days. We will either mail the copy of the medical record to the address you provide or you may pick up your copy at our office from 8 a.m. to 5 p.m., Monday to Friday.

We charge 25 cents per page to copy medical records. We will notify you by phone in advance of the total charge to retrieve the records. You may pay the fee by mail by sending a check or in person, if you pick up the records.

If you would like to review your health information in the Medical Records office, please call (415) 353-2221 from 8 a.m. to 5 p.m., Monday to Friday to make an appointment.

Patient Privacy

UCSF Children's Hospial is committed to protecting your child's medical information. For information about the rights you and your child have and the obligations we have regarding the use and disclosure of your medical information, please see our Notice of Privacy Practices.

The form on this page is in Portable Document Format (PDF). This document can be viewed using Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader, you can download it for free from Adobe's Web site.