Torrance Memorial Medical Center is committed to protecting your medical information. For information about your rights and the obligations you have regarding the use and disclosure of your medical information, please see our
Notice of Privacy Practices.
Completing an Authorization
The Health Insurance Portability and Accountability Act, also known as HIPAA, requires hospitals to obtain an original, complete and properly executed Authorization for Disclosure of Health Information form in order to provide a copy of a patient's medical record to a patient or anyone he or she designates. Only the patient, parent/legal guardian or the patient's legal Health Care Representative can sign the form to release medical records.
The authorization form must be legible and complete. Authorizations that are illegible or incomplete will be returned. Requests for information regarding any of the following items must also be specifically initialed on the form:
- AIDS/HIV
- Mental Health
- Chemical Dependency
Processing a Request
Records are usually available within 7 to 10 business days from the time the request is received. I
f you are interested in picking up your medical records in person, when they become available, please note this at the top of the request form. If if you plan to come to the Medical Records department to pick up a request that you have submitted, you must have a photo ID with you. To arrange for another individual to pick up the documents for you, please contact the Health Information Department for instructions at 310-517-4721.
Once your Authorization for Disclosure of Health Information form is completed, you may submit your request by mail, fax or in person.
Mail:
Torrance Memorial Medical Center
Attn.: Health Information Department
3330 Lomita Blvd. Torrance CA 90505-5073
Fax: 310-784-4852
In Person:
West Tower; First Floor
3330 Lomita Blvd. Torrance CA 90505-5073
Office Hours:
9:00 a.m. - 5:00 p.m. | Monday - Friday, Weekends by appointment only
Authorization to Release Forms
Please note that the authorization is valid one year from the date signed for the specific visit that you request.
Radiology Film Request
Please note that your medical records do not contain radiology films. You will need to contact the Graziadio Radiology Center at 310-517-4675.
Birth Certificates
Birth certificates for individuals born at Torrance Memorial may be obtained from the Los Angeles County Office of the Clerk Recorder. Visit its web site at LAPublicHealth.org (click on vital records) or you may call 213-240-7812 for more information. Torrance Memorial Medical Center does not keep or maintain birth certificates.
Billing Information
Please note that your medical records do not contain any billing information. You will need to contact the Billing Office at 310-325-9110 ext: 4765
Fees
Records released to a patient, physician's office or a medical facility is free of charge.
Assistance
If you have questions, are unsure what medical records you need, or would like more information regarding the process of receiving your medical records, please do not hesitate to contact us at 310-517-4721 Monday through Friday, from 9:00 a.m. to 5:00 p.m.