The report has been gotten by TMZ and demonstrates that the transgender star had been living with HIV for a long time.
The 47-year-old kicked the bucket on September 11 subsequent to anguish a heart assault and also doing combating bacterial endocarditis, cardiomyopathy and HIV, as indicated by the record from L.A's. Department of Public Health.
The on-screen character had set herself up for death years before she sadly passed away, new recordings have uncovered.
The transgender star - who showed up in The Wedding Singer - kicked the bucket on Sunday at 47 years old.
In moving recordings shot in 2008 and discharged by buddy Sham Ibrahim, Alexis is seen portraying passing as like a "tear in the sea".
Alexis says in the video: "Why attempt to make sense of something that you are never going to know? It's pointless. Anyone who invests their energy in this… even the individuals who compose books, and rationalists and religious individuals are squandering my time and yours.
"What on the off chance that it's that? What on the off chance that it's this. Awesome. You don't know until you are dead."
Whenever inquired as to whether she supposes there is life after death, Alexis answered: "I think if there is life past life it is whatever you anticipated that it would be.
"On the off chance that I was a bet woman and I needed to make a wager on what life would resemble after death, it is kind of like a tear in the sea. They say that vitality never leaves. I've had things happen after individuals kick the bucket.
"You know, peculiar things happen. Might I want to feel that there would some say some is other domain where we can return and affect the living? That sounds truly strenuous. I don't see myself being a phantom in the limbo attempting to get the limbo to attempt and get the living to see us or hear us."
Alexis' companion Sham opened up to Mirror Celeb about the "pioneer" transgender rights extremist, saying: "Alexis was really an exceptionally private individual. Her desire was that her wellbeing stay private and as her companion I will dependably regard her desire.
"She was a faithful companion, but since of her family name she was encompassed by individuals who simply needed to utilize her to get to her family.
"After we knew each other for around six or seven years she began taking me to the incidental family capacity and I had the joy of seeing exactly how steady they were.
"I'll always remember going to meet her sister Patricia for her girl's kindergarten graduation party. Alexis had transitioned and was carrying on with her life as female.
"She arrived all dolled up and her niece, Harlow, welcomed her with a major embrace as Patricia said 'Harlow adores her close relative.' This was path before Chaz Bono or Caitlyn Jenner.
"I thought that it was so amazing to see a family grasp their transgender relative with aggregate adoration and acknowledgment. Unfortunately, the world was not as tolerating of Alexis."
Craftsman and TV character Sham - who is having a separating praising her life in Hollywood this weekend - uncovered how the star had been harassed and marked a "tranny" as the years progressed.
"It wasn't the open society we live in today," Sham said. "She was extraordinarily overcome circling town in smaller than expected skirts and high heels.
"Time and again I saw individuals really get physical with her and assault her. Luckily, Alexis knew how to battle back and didn't take s*** from anybody."
Tailing her passing, Alexis' sibling David paid tribute, saying: "Thank all of you for your affection and kind words about Alexis. My legend for time everlasting."
His ex Courteney Cox included: "My heart goes out to any individual who was sufficiently fortunate to know Alexis. We will love and miss you for eternity."