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 Benioff 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.
A copy of your Radiology images and report on CD will be provided to you at no charge, if you request it.
To request your images and report, complete a health information release form and fax it to the Radiology Library where you had your exam. Please include the following information:
If you have any questions about getting a copy of your images and report, please call the Radiology Library at (415) 353-1640 , 7 a.m. to 6 p.m. daily.
Radiology Library at Parnassus
505 Parnassus Ave., Room M-381
San Francisco, CA 94122
Phone: (415) 353-1640
Fax: (415) 353-8583
Radiology Library at Mount Zion
1600 Divisadero St., Room A-118B
San Francisco, CA 94118
Phone: (415) 885 7466
Fax: (415) 885-7449
UCSF Benioff Children's Hospital 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 documents on this page are in Portable Document Format (PDF). They 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.
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.
For help finding a doctor or other assistance, contact our Physician Referral Service at (888) 689-UCSF or (888) 689-8273.
Or send us an email.