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Release of Medical Information

Our Locations 
Click facility name to expand address, phone, and hours of operation.

Santa Clara

Dept. 160, 1st Floor 
710 Lawrence Expy.
Santa Clara, CA 95051

Information: (408) 851-1750
Monday - Friday: 9:00 to 12:30 p.m.
and 1:30 to 5:00 p.m. 
Closed Weekends and Holidays

Campbell

220 Hacienda Avenue
1st Floor
Campbell, CA 95008

Information: (408) 871-6555

Monday - Friday: 9:00 a.m. to 12:30 p.m.
and 1:30 to 5:00 p.m. 
Closed Weekends and Holidays

Milpitas

2nd Floor
770 E Calaveras Blvd
Milpitas, CA 95035

Information: (408) 945-2718
Fax: (877) 516-4135
Email: MILPITAS-ROI-DEPT@KP.ORGKaiser Permanente is not responsible for the content or policies of external Internet sites.

Monday - Friday: 9:00 a.m. to 5:00 p.m.
Closed Weekends and Holidays


Mountain View

2nd Floor
555 Castro Street
Mountain View, CA 95041

Information: (408) 851-1750
Email: MTN-VIEW-ROI-DEPT@KP.ORGKaiser Permanente is not responsible for the content or policies of external Internet sites.

Monday - Friday: 9 a.m. to 12:30 p.m.
and 1:30 to 5:00 p.m.
Closed Weekends and Holidays

 

Manage your health information

If you need copies of your health information for your own personal use or to forward to a health care provider or organization, Kaiser Permanente’s Release of Medical Information Departments are here to help you.


Your health - anytime, anywhere

Some of your medical records are already available to you online - anytime, anywhere - with My Health Manager on kp.org. As a registered user, you can review, download, and save to your computer or print the following information:

  • Immunization record
  • Downloadable Clinical Health Summary
  • Hospital Summary
  • Past office visits
  • Prescription medications
  • Most lab test results
  • Your current health summary, including any allergies and ongoing health conditions

 

Register for kp.org access here.  You can also download a Portable Electronic Medical Record summary to take with you when traveling.

 

 
Requesting your records
For your convenience, you may request your records using phone, email, or by visiting any of our locations. Our offices are generally open from 8:30 to 5:00 pm. Please follow the link for the facility closest to you
  
 
 
Release of your records
Fast and Convenient: You can obtain a copy of your recent medical records via email.  We can provide copies of your most recent 2 years’ worth of records via email for no fee (free) and they can generally be emailed the same day.  A minimal charge applies for records greater than 2 years that are emailed or provided on CD.  If you need records on paper, a per page fee will be charged.
  
 
 
Third party authorization
To protect your privacy, your records will not be released to another party without your signed authorization. You will need to submit a disclosure authorization form for us to complete the request. For your convenience we have these forms located on kp.org under Locate our services, then Forms and Publications.


Disclosure Authorization Forms

Disclosure Authorization (English)

Disclosure Authorization (Spanish)

Disclosure Authorization (Chinese)



     

Disability and family leave
We assist your physician in completing disability and Family Medical Leave certifications, too.  We will need a physician's note for time off to assist in completing your paperwork.  You may also need to have a visit or discussion with your physician, if you haven't had one recently, prior to submitting your paperwork. Click the link to complete the Online application for State Disability InsuranceKaiser Permanente is not responsible for the content or policies of external Internet sites..  Please retain a copy of your claim receipt and provide it to the Release of Medical Information staff when requesting State Disability Insurance physician certifications.

 

Forms and correspondence
Working with your personal physician’s office, we can help you complete various forms regarding your health care, including:

  • Forms to verify illness or health condition 
  • School sports clearance
  • Department of Motor Vehicles 
  • Jury duty 
  • PG&E
  • Residential Board and Care forms

Completed forms are returned to you, rather than to a third party, so you can review the information and make a copy for your records first.

 Northen California Offices

Central Valley Area
(Manteca/Modesto/Stockton)
855-208-7223CVA-ROI-Department@kp.org
Diablo Area
(Antioch/Walnut Creek)
925-817-5661DSAROMI@kp.org
East Bay Area
(Oakland/Richmond/Alameda)
510-752-6026Oak-ROI@kp.org
Fresno559-448-4938Fresno-ROI-Dept-Fax@kp.org
Southern Alameda County
(Fremont/Hayward/San Leandro/Union City)
510-675-6700GSAAROI-DEPT@kp.org
Napa/Solano Area
(Vacaville/Vallejo)
707-651-1359VAL-ROI-Dept@kp.org
North Valley Area
(Sacramento/Roseville)
707-746-3646NVLY-MEDSEC-ROI@kp.org
Redwood City650-299-2963RWC.Med.Sect-Copies@kp.org
San Francisco415-833-3778SF-ROI-Department@kp.org
San Jose    408-284-5200SJO-ROI@kp.org
San Rafael415-492-6317San-Rafael-ROI-Department@kp.org
Santa Clara408-851-1750Santa.Clara.ROI.Dept@kp.org
Santa Rosa707-571-3770SRO.ROI@kp.org
South Sacramento916-525-6940SSC-ROI-Dept@kp.org
South San Francisco650-827-6409SSF.ROI.Dept@kp.org

 

 

Santa Clara

Campbell, Milpitas and Mountain View