Records & Forms

Records and Forms

Here you will find detailed information on submitting a request for medical records as well as important forms

header-title-decorationRecords & Forms

Medical Records Request

Take a minute to learn about the health hazards of discarding prescription drugs down the drain and the advantages of creating an advanced health care directive to ensure your wishes are met. Check this page often for updated resources.

To receive more detailed information about submitting a request for medical records, please click on the link below that best describes who you are.

I am the patient or legal representative of the patient
I am a health care provider seeking records for treatment purposes
I am an attorney seeking medical records for a Health Services patient

Get more information

Advanced Health Care Directive

The California legislature has enacted law allowing you to give instructions about your health care by completing an advanced health care directive form. You also have the right to name someone else to make health care decisions for you. This form lets you do either or both of these things. It also lets you express your wishes regarding donation of organs and the designation of your primary physician. For more information and to download a sample form click the following link:

Notice of Privacy Practices

The Notice of Privacy Practices describes how the Health Services and its facilities may use and share patient health information and how patients can exercise their health privacy rights.

Get more information.