To obtain a copy of your medical records please contact or stop by the Medical Records Department located on the first floor of Tower #3 in the hospital. In order to process a request, the patient must complete an Authorization for Use & Disclosure of Protected Health Information form. Once completed, the form must be submitted to Medical Records. Authorizations may also be faxed to (408) 729-2881, once completed.
Your request will be fulfilled within five working days after received. We will either mail your copy to the address specified on the authorization form or you may pick up your copy from the Medical Records Office Monday - Friday: 8:30am - 5:00pm.Download the Authorization for Use & Disclosure of Protected Health Information (PDF)
For more information, please contact the Medical Records Department at (408) 729-2815.