This page explains how to request client records and information from Inland Regional Center, including guidance on how to submit a request for Client/Applicant files.

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How to Request Client Records

Copies of Client/Applicant files shall be made only with the express written consent and authorization of an adult Client/Applicant, conservator, parent/legal guardian of a minor or as otherwise allowed pursuant to Welfare and Institutions Code (WIC) Section 4514. IRC may charge a nominal fee to reproduce records in accordance with WIC Section 4725 and Evidence Code Section 1158. Electronically stored records may be copied to a password protected CD and mailed via certified mail, sent via encrypted mail (file size permitting) or fax. There is no charge for an electronic transfer. There is no charge for records if you have filed an appeal and the appeal is pending.

To request records:

1. 1. Individuals seeking their records or Parent/Guardian/Conservator, complete this form:
      Request to Obtain Records (English | Spanish)
   2. If written consent is needed to obtain records, complete this form:
      Authorization to Release Confidential/Protected Health Information (English | Spanish)
   3. Please submit your record request forms to:
   Custodian of Records/Legal Affairs
   Inland Regional Center
   P.O. Box 19037
   San Bernardino, CA 92423
   Fax: (909) 890-3008Email: [email protected]