EXAPND SEARCH EXPAND MENU VIEW ADDITIONAL CONTENT You are here: Home / Patients & Visitors / Medical Records Request Medical Records To obtain medical records copies, a signed authorization must be submitted to the Health Information Management department from you or an authorized legal representative. Online Request You as the patient or legal representative can complete the Authorization for Use or Disclosure of Health Information form electronically using a smart mobile device. If using a laptop or desktop you can complete the form online, then print, scan and upload the authorization. Please note that this functionality is not yet available for PIH Health Good Samaritan Hospital patients. START THE REQUEST PROCESS Mail or Fax Request You can download a paper copy of the Authorization for Use or Disclosure of Health Information form below. Mail or fax the completed authorization to: PIH Health Whittier Hospital 12401 Washington Blvd. Whittier, CA 90602 Attn: HIM Department Fax: 562.967.2908 English Spanish Chinese PIH Health Downey Hospital 11500 Brookshire Ave. Downey, CA 90241 Attn: HIM Department Fax: 562.967.2948 English Spanish Chinese PIH Health Good Samaritan Hospital 1225 Wilshire Blvd. Los Angeles, CA 90017 Attn: HIM Department Fax: 213.202.7265 English Spanish Korean PIH Health Physicians 12401 Washington Blvd. Whittier, CA 90602 Attn: HIM Department Fax: 562.967.2938 English Spanish Chinese Processing Time Please allow 3 to 5 business days for your request to be processed. If your request was submitted electronically, you will be notified via e-mail or text message with status of your request. If the request was submitted in person or mailed, you will receive a phone call from one of our Release of Information team members. Contact Us If you have any questions regarding how to complete or submit your request, please contact: PIH Health Whittier Hospital Medical Records: 562.698.0811 Ext. 13685 Radiology: 562.698.0811 Ext. 11126 PIH Health Downey Hospital Medical Records: 562.698.0811 Ext. 26177 Radiology: 562.698.0811 Ext. 25408 PIH Health Good Samaritan Hospital Medical Records: 213.977.2121 Ext. 8127 Radiology: 213.977.2140 PIH Health Physicians (Clinics) Medical Records: 562.698.0811 Ext. 13698 Radiology: 562.698.0811 Ext. 11126 Office hours are Monday through Friday from 8 am to 4:30 pm, except Holidays. PIH Health 562.698.0811 TDD: 562.696.9267 PIH Health is a nonprofit that relies on fundraising. © 2021 PIH Health Helpful Links Medical Records Pay a Bill Patient Portal Price Estimation Tools Urgent Care Wait Times For Healthcare Professionals Physicians Nurses Medical & Pharmacy Students Careers Volunteers View More... Company Information Policies & Legal Notices Infection Prevention Affiliation Verification About Us Newsroom Contact Us