Medical Records, X-Rays and MRI Results

Keck Medicine of USC provides multiple ways to obtain your medical records. Our most popular method is through myUSCchart, our patient portal, but you also may obtain records through our HIPAA-compliant authorization form.

Your Rights Regarding Your Health Information

Listed below are your rights as a patient to access your health information:

• Right to request access to your health information
• Right to request amendments to your health information
• Right to revoke your authorization
• Right to an accounting of disclosures of your health information
• Right to request how information is provided to you
• Right to request restrictions on the use of your health information
• Right to be notified of a breach
• Right to a paper copy of this notice

Download USC’s Notice of Privacy Practices here.

Please read the information below to review your options.

Patient Portal

Keck Medicine of USC now offers 24/7 access to your medical records. Send secure messages to your physician, access test results and request prescription renewals and appointments from your personal computer or smartphone via the patient portal at https://keckmedicine.org/my-usc-chart/.

Alternatively, you may contact us at (800) USC-CARE (800-872-2273).

Requests for Medical Records

Overview

Our goal at Keck Medicine of USC is to make obtaining your health information a simple, secure and expedient process. To obtain your information, follow these steps:

1. Complete an online Authorization to Release Protected Health Information form (Keck Medical Record Request)

Other Ways to Request Information

1. Obtain a HIPAA form at one of our offices or online by downloading it here.
2. Submit the completed form by mail, fax or in person to your local Keck Medicine of USC clinic or one of the hospital locations listed below. If you are unsure which location to submit to, please direct it to Keck Hospital of USC.

Keck Hospital of USC
Attn: Medical Records
1500 San Pablo, Rm #1206
Los Angeles, CA 90033
Phone: (626) 293-2400
Fax: (323) 865-5482
Monday – Friday, 8 a.m. – 4:30 p.m.

USC Norris Cancer Hospital
1441 Eastlake Ave.
Los Angeles, CA 90033
Phone: (626) 293-2400
Fax: (323) 865-5482
Monday – Friday, 8 a.m. – 4:30 p.m.

USC Verdugo Hills Hospital
1812 Verdugo Blvd.
Glendale, CA 91208
Phone: (626) 293-2400
Fax: (323) 865-5482
Monday – Friday, 8 a.m.–4:30 p.m.

NOTE: Keck Medicine of USC clinics can only provide records for their own location to you, the patient. If you are a personal representative/legal guardian or need a more comprehensive record set, please contact one of the three hospital locations.

If you need help completing the form, Medical Records staff will be able to assist you. For requests made in person, please bring your photo ID if you are the patient or recipient. If you are the legal guardian, please bring supporting paperwork. For mailed or faxed requests, please make sure your signature matches your most recent visit (or include a copy of your photo ID).

Medical Record Release Process

Please read the information below in the “Important Information About Requesting Medical Records” section and ensure that all sections of the authorization are completed.

Timeframe

Please allow reasonable time to process your request. The legal maximum time to fulfill requests is 15 days, but we strive to process requests sooner than that. We will contact you if we experience delays or are unable to fulfill your request.

Locations and Scope of Request

Our hospitals are set up to accommodate requests for all Keck Medicine of USC locations. Should you wish to receive records for all locations, please direct your request to one of the hospitals. You also may submit a request directly to one of the USC Care clinics if you only need records from that location.

Important Notice About Completing Authorization Form

The HIPAA form is a document required by California and Federal law. It allows us to release records to your designated recipient, but it must be completed fully and accurately. Your request will be delayed if the below are not completed:

• Patient Information:
  • Patient’s full name (list any and all names the patient may have used)
  • Patient’s date of birth
• To whom the records will be released (name and full address)
• Purpose for which the information may be disclosed (e.g., continuity of care, legal matter, personal use)
• The specific health information being requested:
  • Dates of service
  • Type of reports/information
• Patient’s signature or legal representative’s signature

Authorizations signed by a personal representative (someone other than the patient) must be verified by including a copy of one of the following documents:

• Legal guardianship papers
• Advance Directive/Healthcare Power of Attorney, for patients unable to make healthcare decisions
• Designation of Personal Representative, which allows the representative to act on the patient’s behalf with regard to personal health information

Requests for medical records of deceased patients require a copy of the death certificate or evidence of next of kin or executorship of the estate. Records can be released to anyone whom the patient authorizes (in writing) to receive them. If the authorization’s expiration date is not noted, the authorization will be valid for 90 days.

Fees for Records

Medical record requests for personal use may be subject to a fee. The first two years of pertinent information are provided at no cost. Additional portions or copies are charged at $0.25 per page.

Requests for Continuing Medical Care

Records related to medical emergencies or for continuity of care are faxed free of charge directly to a physician or medical facility. If you need records to be sent to another provider, the simplest process is to have that office submit a fax cover letter with your name, date of birth and the information they need to one of the above fax numbers.

Pertinent information such as radiology/imaging reports, history and physical, consultations, operative reports and discharge summaries are routinely provided to the primary care physician for continuing care.

Requests for X-Ray Images

If you need to obtain radiology images, please contact the respective radiology location below:

• Keck Inpatient Radiology Department: (323) 442-8700
• Keck Outpatient Radiology Department: (323) 442-7451
• Norris Radiology Department: (323) 865-3219
• Verdugo Hills Radiology: (818) 952-2266

Requests for Birth Certificates

L.A. County Registrar-Recorder/County Clerk
Contact number: (800) 201-8999
Website: https://lavote.net/home/records/birth-records/birth-records-request

Requests for Death Certificates

L.A. County Registrar-Recorder/County Clerk
Contact number: (800) 201-8999
Website: https://lavote.net/home/records/death-records/death-records-request/who-can-obtain-a-death-certificate-copy

Request for Nonstandard Electronic Health Information

To make a paid request to use, access or exchange your electronic health information, please submit the online form here.

If you would like to make a request for standard medical records, please complete an online Authorization to Release Protected Health Information form (Keck Medical Record Request).

If you have any questions about the online form, please contact HIMROI@med.usc.edu.

Please Read Carefully

Keck Medicine of USC has no control over how the application is configured or how it will use or disclose your electronic health information. 

Your electronic health information may contain your demographic information, medical conditions, sensitive lab results, allergies, medications, diagnostic reports, doctor’s notes, and other types of information that are available in the medical record. 

We recommend that you use extra caution before authorizing any application to access your electronic health information and to only authorize those applications developed by a company you trust. 

Keck Medicine offers consumers application connectivity through the code.cerner.com program. 

To allow a consumer application to access your electronic health information, you are required to authorize the Application(s) by using the same credentials that you would use to access the myUSCchart patient portal account. 

Please follow the instructions in the application or consult the application vendor’s user documentation for instructions on how to access your electronic health information through the application. 

Please note that you may currently access your health information through: 

1. MyUSCchart Patient Portal: https://www.keckmedicine.org/my-usc-chart/   
2. Request for Release of Information: https://www.keckmedicine.org/records/