Records Request

UCLA Psychology Clinic Records Request Procedure:

1. Download the Authorization to Release Information Records Request Form at the following website: 

https://ucla.box.com/s/p66svpodxpsbygovlert9z15ewi6l3mw

2. Complete form and submit to: ucla@psychclinic.hush.com

A copy of the records requested will be sent in the preferred method of transmission as soon as possible.