At Shriners Hospitals for Children, the health and safety of our patients, families, volunteers and staff is our top priority. With the evolving situation regarding COVID-19, we are closely monitoring updates from local health departments and the Centers for Disease Control and Prevention (CDC), and are actively following their recommendations.

If your child has an upcoming appointment, please contact your local Shriners Hospitals for Children location.

Shriners for Children Medical Center — Pasadena visitor information.

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Medical records and insurance

Medical records and insurance

Medical records

To request copies of your own medical records, or to authorize the disclosure of your medical records to another individual or third party, you will need to complete a HIPAA compliant form and submit your request in writing to the Health Information Services (HIS) department. Note: Please be sure to complete all sections when filling out the form.

Patients, legal guardians and personal representatives with legal authority to make health care decisions on behalf of the individual may obtain medical record copies by one of two methods:

  1. Completing a Patient Request for Information form: (English) (Español), or
  2. Submitting a request to release the medical record through the Shriners Hospitals for Children Patient Portal. (Note: This process does not require completion of the form listed above.)
    • If you already have access to the Shriners Hospitals for Children Patient Portal, see instructions here.
    • If you do not yet have access to the Shriners Hospitals for Children Patient Portal, contact the Shriners Hospitals for Children registration staff or care manager at this location to request an invitation.

Third parties may obtain medical record copies by submitting an Authorization for Disclosure of Health Information form that is completed and signed by the patient and/or legal guardian: (English) (Español)

Fax your completed form to 626-389-9501 or mail to:

Shriners for Children Medical Center — Pasadena
Health Information Services
909 S. Fair Oaks Avenue
Pasadena, CA 91105

If you prefer, you may pick up a form in person by stopping by the health information services office during our regular business hours: 8 a.m. – 4:30 p.m., Monday through Friday. Please call Health Information Services at 626-389-9500 for additional assistance.

Requests for copies take 10–15 business days to process upon receipt of the authorization form.

Insurance questions

Children up to age 18 are eligible for care if, in the opinion of our physicians, there is a reasonable possibility they can benefit from the specialized services available. Treatment is provided based on medical need, regardless of the families’ ability to pay.

We accept medical insurance, including Medi-Cal, managed care and private payer. However, insurance coverage is not a criterion for care. Any child under 18 with a medical condition that is within the medical center's scope of services is eligible.

For insurance related questions, please call 626-389-9414.