Medical Records from Mission Heritage Medical Group
Medical records are maintained for the time period required by the State
How to Request a Copy of your Medical Record
Complete all sections of the Authorization for
Use or Disclosure of Health Information form.
Mail, email or fax your request to:
Providence Mission Heritage Medical Group
Health Information Management Department
26800 Crown Valley Pkwy., Suite 280
Mission Viejo, Ca. 92691
Hours of operation:
- Monday - Friday, 8 a.m. – 5:00 p.m. (closed weekends and holidays)
- Requests are usually processed in 7-10 business days and are processed
by a contracted vendor.
- For medical use, there is no fee if records are to be sent directly to
a doctor or other healthcare provider for the purpose of continuing care.
- For all other uses, fees may apply.
You can also access and download a portion of your health information through the
MyChart patient portal.