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Notice of Patient Demographic Change
Important: Make sure your insurance is updated before doing this if you intend to visit CHLA again, because insurance will decline any procedures billed under the wrong name or legal sex. This procedure assumes you're changing your legal name, preferred name, ...
Sending the Request
To send your request to CHLA, attach your filled out Notice of Patient Demographic Change form, a form of ID (passport, driver's license, ID card, etc.), and a non-certified copy of your name/gender change court order to an email and send it to himrequest@chla...
Obtaining Your Medical Records at CHLA
The easiest way to obtain your medical records at Children's Hospital Los Angeles is using the form at this page. The cost for obtaining personal records is free. Note that obtaining records for other purposes may cost money and if your request results in more...