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For coronavirus information for the UCLA community, please visit the Ashe Center website and UCLA’s information page.

UCLA Arthur Ashe Student Health & Wellness Center

To request a copy of your medical records or to give another person access to your records, patients can submit an Authorization for Release of Medical/Billing Information online, by fax, by mail, or in-person. However, many of your records are already available on the Ashe Patient Portal and do not require prior authorization to view.

Records Available on the Patient Portal

Patients can access the records below (April 2016-present) without a written authorization by logging into the Patient Portal:

  • Visit History
  • Allergies
  • Medications
  • Radiology reports
  • Lab test results
  • Procedures
  • Immunizations
  • Referrals
  • Letters
  • Secure Messages
  • Itemized Statements

For All Other Records

Patients needing records prior to April 2016, or needing more detailed information, can submit a request by using one of the options below:

Patient Portal Request (current students)

Ashe Website Request (past students)

Fax, Mail, or In-Person Request

Complete and submit the form via fax, mail or in-person.

Please Note

  • Allow 7-10 business days for your request to be completed. Unsigned and/or incomplete requests cannot be processed.
  • There is no fee for current or past students.
  • For third parties (Outside Provider, Law Firm, or Facility), there is a $15 processing fee, please address the check or money order to “UC Regents.”
  • To request a copy of your X-ray imaging study, follow the instructions on this link: https://www.uclahealth.org/radiology/request-your-imaging-study

Scheduling

(310) 825-4073, Option 6

Hours

Monday-Friday, 9:00 am-4:30 pm

Location

4th Floor, Room 418 of the Ashe Center

Map of Ashe Center

What to Bring

  • Bruin Card