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Request Your Medical Records

You have the right to review and receive copies of your medical records (subject to certain legal restrictions). You can also designate someone to obtain your records on your behalf.

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Medical Records Authorization Form

In some cases, there are no fees for receiving copies of your medical records. You will be notified in advance if any fees apply, prior to releasing your records.

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. Therefore, you must complete a Medical Records Authorization Form for each location at which you received care. See detailed instructions, below.

Please allow up to 15 calendar days to receive copies of your medical records after we receive your written request.

How to Request A Copy of Your Medical Records

  • Submit Your Medical Records Authorization Form Online — Available in English, Spanish or Chinese
  • Submit Your Medical Records Authorization Form Through FAX or US Mail —Download and complete the Medical Records Authorization form in PDF. Send the completed PDF form to the address or fax number listed for the facility where you received care.

Submit Your Medical Records Authorization Form Online

Download

  • Medical Records Authorization Form (PDF)

    English

  • Medical Records Authorization Form (PDF)

    Spanish

  • Medical Records Authorization Form (PDF)

    Chinese

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