Transfer Your Medical Records
The form can be obtained by writing to request the form from the Business Office at any of our Kaiser Permanente medical centers. In the South Bay, these medical centers are in Redwood City, Santa Clara and San Jose.
If you have medical information to transfer to Kaiser Permanente, you can do one of the following:
Complete an Authorization for Disclosure Form and take it to your non-Kaiser Permanente physician. Have your physician mail your records along with the form to the Kaiser Permanente South Bay facility that you have chosen.
Complete an Authorization for Disclosure Form and submit it to the Kaiser Permanente South Bay facility that you have chosen.
Make sure you have your Kaiser Permanente Medical Record Number on the form before sending materials.
For Santa Clara, Campbell, Milpitas, Mountain View, Gilroy and San Jose, send your medical records to the attention of the Chart Room. For Redwood City send your medical records to the attention of the Medical Secretaries.