Riverside Medical Clinic Medical Records Dept. 3660 Arlington Avenue Riverside, CA 92506-OR-Fax to: (951) 784-6479-OR_ Email to: himdepartment@rmcps.com. Download Newborn-11-year-old Child Proxy Form. To request access to the My Healthy Connection record of an adult patient whose medical care you help manage, please complete the Adult Proxy Form..