Patients & Visitors

Medical Records

To obtain a copy of your medical record please contact or stop by the Medical Records Department located on the first floor of the hospital. In order to process a request the patient must request an Authorization for Use and Disclosure of Protected Health Information form. Once completed, the form must be submitted to Medical Records.

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 between the hours of 8:00 am and 4:30 pm, Monday through Friday.

For more information, please contact the Medical Records Department at (408) 729-2815.

Authorization for Use and Disclosure of Protected Health Information