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Medical Record Request during COVID-19

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As we continue to monitor updates regarding the state of current events surrounding COVID-19 and any potential risk to our patients and staff, HIM (Medical Records) has decided to temporarily close our Release of Information desk.

We understand that access to your medical information is important and essential; we will still be available to process your requests for release of information remotely.

Effective Monday, March 23, 2020, all patient release of information requests can be submitted by e-mail, fax or US Mail. We will do our due diligence to process your requests in a timely manner.

Once the Health Information Department has received your request, it can take between 3 - 5 days to process.. To request a copy of your medical record, please complete the “Authorization to Disclose Health Information” form below:

To submit your request and scanned copy of valid Identification


Fax: (559) 675-5519

US Mail: Attn: Health Information Management

1250 E. Almond
Madera, CA 93637