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Medical Record Copy Request

Did you know that Kaiser Permanente keeps your medical records electronically? This means that your personal care provider can easily access most of your important health information and tests without your chart.

If you're a new member, we recommend that you discuss with your personal physician what pertinent records he or she may need to continue your care. It may not be necessary for all of your records to be transferred from your previous non-Kaiser Permanente physician.

New members should receive a Medical Record Number from Kaiser Permanente before completing a request form and transferring medical records. Call the Member Services Call Center if you need assistance with obtaining a medical record number at 1-800-464-4000.

For obtaining copies of your Medical Records for your personal use or a third party, our office will need:

  • A completed Authorization for Disclosure form to or copies of Medical Records (see FORMS in the right column)

 

 

Please Note:

  • When completing the request form, be sure to indicate to whom the records are being released (even if this is yourself).

  • Please print and sign your completed request form.

  • There also may be fees applicable for medical record copies in the amount of $0.25 per page copied or $10.00 for every 100 pages on a CD.

  • If you wish to review your medical record without obtaining copies, submit a request form.

  • Once received, you will be contacted within 5 days to set up an appointment with one of our staff.

  • For copies of your records, you may either mail or fax the completed forms to our office. Once received, you will be notified upon completion, within 3 business days.

  • You can receive your records via e-mail within 24 to 72 hours, FREE!

  • We can not request Medical Records from other non-Kaiser Permanente organizations.

 

 

 

East Bay

Alameda, Oakland, Pinole & Richmond Medical Centers