Request a Copy of Your Imaging Study

Radiology Imaging Library

• Phone: (310) 825-6425
• Fax: (310) 825-3205
• Hours of Operation:
  8:00 am - 4:00 pm, Mon - Fri
• 200 Medical Plaza
  Suite B165-11
  Los Angeles, CA 90095

Request Your Imaging Study Images (CD/Download):

You can request your CD in person at any UCLA Health Radiology location.

Patients can go directly to many UCLA Health Radiology locations* (regardless of where you were originally scanned) to request a CD in-person during business hours. (*Not Available at 100 Medical Plaza, 300 Medical Plaza, Culver City, Malibu, Marina Del Rey, Woodland Hills) Please see our UCLA Radiology Interactive Map to find the closest location near you.

• Patient will be asked to show ID and fill out the release form.
• If someone else needs to request the CD on your behalf, please fill out the Authorization for Release of Health Information form (PDF). Please include the following information:
  • Patient Name, Birth Date, and Medical Record Number
  • Patient contact phone number
  • Patient signature
  • The description of the study requested
  • Name of the person picking up the images should be included on the authorization form. These types of request will be verified and will require person picking up the images to show ID and signature in person.
• The process takes typically 15 to 30 minutes, depending on the number and imaging size of the studies.

You can request your CD to be mailed to you, or transfer the images electronically (via LifeImage, a cloud-based PACS image sharing platform) to you or a healthcare organization:

1. Fill out the Authorization for Release of Health Information form (PDF). Do not use the fax or address on the form, please use the fax or address below.
   Please include the following information:
   • Patient Name, Birth Date, and Medical Record Number
   • Patient contact phone number
   • Patient signature
   • The description of the study requested
   • Patient complete address including suite number and zip code
2. Fax or mail the completed form to:
   • FAX: (310) 825-3205
   • Mailing Address:
     Image Management, Release of Information
     200 Medical Plaza
     B1- Level, Suite 165-11
     Los Angeles, CA 90095-78305
3. To validate the request and coordinate pickup, call the Imaging Library at (310) 825-6425
4. The Image Library reserves the right to comply within 7-14 business days of receipt of a signed authorization.