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Medical Records

Aurora Charter Oak Hospital in Covina, California offers a safe, secure and therapeutic environment for individuals with acute psychiatric and/or substance use problems.

Contact Referrals

Medical Records

Direct line: 626-859-5288

If you are a former patient, parent or guardian and would like to request your medical records, you may download this form to fill out and return to us by e-mail, fax or mail, or drop it off at the hospital reception desk.

If you are a healthcare provider, or you wish to authorize a Release of Records to another healthcare provider, you may download this form to fill out and return to the hospital.

Patient Request for Medical Records