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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. Therefore, you must complete a Medical Records Request Form prior to receiving a copy of your records. Please do not use this form to request Billing Records or Radiology Images.

 

You may receive medical record copies from more than one location depending on when and where you received care at one of our facilities. This may be true for older records stored on paper.

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

Request Your Billing Records or Radiology Images

To request billing records, call the number listed on your billing statement or visit the "Need Help" section on our Billing and Insurance page.

 

To request radiology images, download and complete the Radiology Images Authorization Form (PDF). Send the completed form to the address listed for the Imaging Center where you had images taken.

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