UCLA Psychology Clinic Records Request Procedure:
- Download the Authorization to Release Information Records Request Form at the following website: https://ucla.box.com/s/6d3o7n8p9e81mlmlabon8a82jzgndcef
- 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.