Medical Records Request

Obtain a Copy of Your ECRMC Records

To request your records from El Centro Regional Medical Center-including radiology reports and images- please download and fill out the “Release of Information Authorization Form”. Please be sure to include the dates of service, as, unfortunately without that information, the request cannot be completed. If the form is completed and signed by someone other than the patient, supporting documentation may be requested.

A valid driver's license or valid ID will be required when requesting or picking up records. Forms are also available to pick up in person.

• Release of Information Authorization Form (English)
• Release of Information Authorization Form (Spanish)

Once you have completed the forms, please mail or fax them to:

Mail

El Centro Regional Medical Center

Health Information Department
1415 Ross Avenue
El Centro, CA 92243

Service hours:
Monday - Friday
8:00 a.m. - 6:00 p.m.

Fax

760-482-5363

Requests for medical records will be processed within 7-10 business days of receipt. If you have questions about requesting ECRMC medical records, please call 760-339-7190 to speak with a member of our team.

Thank you,

Health Information Management