Release of Health Information

Torrance Memorial 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.

How to Make a Request

To obtain a copy of your medical records from Torrance Memorial, please download the form below. You may also use this form to have your medical records sent to another medical facility.

Processing a Request

Records are usually available within 7 to 10 business days from the time the request is received. If you are interested in picking up your medical records in person, please note this at the top of the request form. 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 Use or Disclosure of Protected 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

Fax
310-784-4852

In Person
1st Floor, West Tower
3330 Lomita Blvd.
Torrance, CA 90505

Hours
Monday - Friday, 9:00 AM - 5:00 PM, weekends are by appointment only

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 Use or Disclosure of Protected 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

Authorization to Release Forms

Please note that the authorization is valid one year from the date signed for the specific visit that you request.

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 does not keep or maintain birth certificates.

Radiology and Imaging Results Request

Please note that your medical records do not contain radiology records. You will need to contact the imaging center where your exam was completed:

  • Graziadio Radiology Center, 310-517-4675
  • Polak Imaging Pavillion, 310-784-6323, option #2

Billing Information

Please note that your medical records do not contain any billing information. For questions about your Torrance Memorial bill, please call the Business Office at 800-661-0004.

Fees

Records released to a patient, physician's office or a medical facility are free of charge.

For More Information

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 call 310-517-4721, Monday through Friday, from 9:00 AM to 5:00 PM.