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Medical Records

To request a copy of your medical records, or authorize a copy of your records to be sent to another facility, you must submit a signed Medical Records Access Request form. All requested information must be completed, dated and signed.

Patient Records Request

Patients may submit requests by mail, fax, or in person:

 

By Mail:

 

Doctors Medical Center

Attention: Medical Records/HIM

2000 Vale Road

San Pablo, CA 94806

By Fax:

(510) 970-5740

In-Person:

We are located on the first floor of the hospital.

Note: A photo ID is required. 

In-person requests will be processed immediately. All other requests will be processed within 15 days.

 

If You Are a Patient's Representative Seeking Records

The patient representative must bring proper identification and a signed durable power of attorney form. If the patient is deceased, the personal representative must provide proof of being executor or administrative of the estate, and provide the patient's death certificate.

 

Release of Information Charges 

There is no charge for patients requesting a copy of their records or for continuity of care requests. A $15.00 clerical fee plus 10 cents per page will be assessed for attorney and subpoena requests.

 

We can also provide records via a CD-ROM for a $16 flat fee. 

 

Subpoena Requests

Subpoena requests must be served in person with the original subpoena. A $15 witness fee will be assessed.

 

Hours of Operation & Contact Information

We are open Monday through Friday, 9 AM to 4 PM.

Main Department Phone: (510) 970-5159

Fax: (510) 970-5740