Obtain Your Medical Records

If you reside locally, Release of Information Authorization/Request forms may be obtained at any of the Santa Barbara County Behavioral Wellness Clinics where staff is available to assist with completion of forms.  

If you are unable to make your request in person, Release of Information Authorization/Request forms may be obtained by calling the Behavioral Wellness Medical Records Department at (805) 681-5328. Incomplete information may delay processing.  Before submitting your request it is important to review the form for completion, including:

1) Personal identifying information of client, to include full name, date of birth and Social Security Number (last four digits are acceptable)
2) Name, address and phone number of the individual or organization to which you want records released
3) What the information will be used for
4) Description of requested information
5) Time period for the information being requested
6) Initials where required
7) Signature and date 

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