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Request Imaging Records

Request your Imaging Studies

To request a copy of your imaging records, please fill out an Authorization for Release of Protected Health Information form.

You can either fax, mail, or take a picture of the form and email it to us as noted below:

  • USPS Mail: Lompoc Valley Medical Center, HIM Department
    1515 E Ocean Ave, Lompoc, CA 93436
  • Fax: 805-737-3386
  • E-Mail:

Facilities Requesting/Sending Imaging Studies for Continuation of Care

If you are requesting or sending studies via Ambra, LifeImage, or any other image exchange programs, please email: