Medical Records

To request a copy of your medical records, or to give another person access to your records, patients must submit a Patient Authorization To Release Medical or Mental Health Information Form online, by fax, by mail, or in person. However, for current students, many of your records are readily available on your MyHealth Portal and do not require prior authorization to view. 

Records Available on the Patient Portal

Patients can access the records below from their portal without written authorization

• Visit Records
• Allergies
• Medications
• Radiology reports
• Lab Test Results
• Procedures
• Immunizations
• Referrals
• Letters
• Secure Messages
• Itemized Statements

Records Request Process

If you’d like to have your medical records sent to you, a medical facility, a doctor’s office, or any other party, you MUST fill out the Patient Authorization To Release Medical or Mental Health Information Form . The completed form is automatically sent to the Student Health Medical Records Department for processing.

Otherwise, it can be submitted via email, mail, fax, or in person.

Email: SHSRecordsRequest@sa.ucsb.edu
Mail: University of California, Student Health, Medical Records Department, Santa Barbara, CA 93106-7002
Fax: (805) 893-2758 
In person at Student Health: Information Desk in lobby

Please Note

• Allow 14 business days for your request to be completed. Unsigned and/or incomplete requests cannot be processed. Please be sure to complete the form in its entirety, as applicable.

  • Please choose the type of information that needs to be released or obtained on pg. 1. Do not leave boxes blank. When applicable, please specify in the space provided at the bottom of pg. 1 the specific record needed.

  • Please provide an address, fax number, or email address, depending on how you want your records transferred.

  • Please choose “the purpose of the release” on pg. 2. Do not leave blank.

• Radiology images are only provided via CD by mail or pickup. Please specify on your request or email shsrecordsrequest@sa.ucsb.edu if you need images.

• For records requests from Law Firms/Legal Services, please coordinate records requests through EHS-Risk.

Minor Consent Form