Medical Record Request: Printed Copies
To request printed copies of your medical records from Aliso Ridge Behavioral Hospital, please follow these steps:
- Download and print our Release of Information form – Aliso Ridge Behavioral Hospital
- Complete, sign and date the form. In order to verify your identification and validate your authorization, you are required to include a legible copy of a valid photo identification (i.e.: a driver’s license, a military ID or a state ID).
- Email, fax, mail or deliver your paperwork in person. Please see further instructions below.
Fax: 949-221-3603Email : roi@alisoridgebh.comMail:Aliso Ridge Behavioral Health
ATTN: Health Information Management
200 Freedom Lane
Aliso Viejo, CA 92656
Please allow up to (15) days for processing from the date of receipt of the completed authorization.
Copy service/subpoena requests must be hand-delivered to personnel in our Health Information Management Department (with the exception of criminal subpoenas; via certified mail or hand-service accepted). Fees for services will be billed by a clerical hourly rate and $0.25 per page.
Subpoenas for Aliso Ridge Behavioral Health will be accepted at our physical location Monday through Friday, 9AM-12PM, excluding major holidays.
Contact Us
Our hours of operation are Monday through Friday, 9 a.m. to 3 p.m., excluding major holidays. You may reach us at:
Phone: 949-900-8457
Fax: 949-221-3603
Urgent Requests/Records for Your Physician
For immediate continuity of care requests, you or your healthcare providers may request that records be sent directly to their office.
The physician’s office must send a written request on a business letterhead to 949-221-3603 (fax). Please indicate the patient’s name, date of birth and date of visit/admission. Please indicate “STAT” at the top of the request. For immediate assistance, call 949-900-8457.