Medical Records

Health Information Services

To request copies of your medical record please call 916- 453-2164.

You will be asked to complete an Authorization for Disclosure of Health Information form, which we can send you by fax or email. If you prefer, you may pick up a form in person by stopping by the Health Information Services office during our regular business hours: 7:30 a.m. – 5:30 p.m., Monday – Friday.

Requests for copies take 10 to 15 business days to process upon receipt of the authorization form. There can be a 25-cents per page charge depending upon the size of the request.

Patient Referral

916-453-2191
916-453-2111 (Emergency Referral)
916-453-2395 (fax)
referrals.ncal@shrinenet.org

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