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Contact Us for Barlow Respiratory Hospital Patient Records

Thank you for trusting Barlow Respiratory Hospital with your care. We serve Los Angeles County and beyond with award-winning specialized medical care for critically ill and medically complex patients. Barlow Respiratory Hospital is the only not-for-profit respiratory hospital in California.

If you or your loved one has been a patient at Barlow Respiratory Hospital and wish to request copies of medical records, please complete and return this form OR contact us with your questions, comments, or concerns and a hospital representative will respond as soon as possible.

Completion of this document authorizes Barlow Respiratory Hospital to disclose and/or use health information about you.

Important Notes

Please note: Failure to provide all information requested may invalidate this authorization. There are fees associated with the disclosure of health information to patients and patient representatives.