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Request Your Medical Records

Medical Records Request Form

Sutter Health will not release your medical information to you or your designated representative without your written authorization, except as required or permitted by law. You may receive medical record copies from more than one location depending on when and where you received care at one of our facilities.

  • Request Your Medical Records
  • Request Your Billing Records
  • Request Your Radiology Images

How to Request a Copy of Your Medical Records

Please allow up to 15 calendar days to receive copies of your medical records after we receive your written request. You will be notified in advance if any fees apply, prior to releasing your records.

Request Online

Use our convenient online Medical Record Request form to submit your request more quickly.

 

IMPORTANT: Be prepared to upload a copy of your Photo ID when using the online tool. If requesting for someone other than yourself, you may be asked to upload supporting documentation in addition to your Photo ID to verify your authority to request medical records on behalf of the patient.

Submit Your Authorization Form

Request by Email, Fax, Mail

Download and complete the Medical Records Authorization form. Send the completed form by e-mail, fax number, or US mail for the facility where you received care.

  • Authorization Form (PDF) English
  • Authorization Form (PDF) Spanish
  • Authorization Form (PDF) Chinese
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