Medical Records from Mission Heritage Medical Group

Medical records are maintained for the time period required by the State of California.

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
26732 Crown Valley Parkway, Ste. 441
Mission Viejo, CA 92691

Fax: 949-276-3689
Phone: 949-282-1675

Hours of operation:

  • Monday - Friday, 8 a.m. – 5:00 p.m. (closed weekends and holidays)

Processing Time:

  • 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.