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  • Kaiser Permanente Forms Medical Release Forms 2003

Get Kaiser Permanente Forms Medical Release Forms 2003

Kaiser Foundation Hospitals Southern California Permanente Medical Group AUTHORIZATION FOR RELEASE AND / OR IMPRINT KAISER PERMANENTE ID CARD HERE DISCLOSURE OF MEDICAL INFORMATION Treatment, payment,.

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EHR, or electronic health record.

Oakland, California, U.S. Kaiser Permanente operates 39 hospitals and more than 700 medical offices, with over 300,000 personnel, including more than 87,000 physicians and nurses.

Visit my medical records to view and print your or your family members' most commonly requested medical records and reports from Kaiser Permanente Northwest, including the following: Allergies.

Is there a law that says I can see or copy my medical records? You can make a written request to either review or obtain a copy of your medical records pursuant to Health and Safety Code sections 123100 through 123149.5. You can view these laws on the California Legislative Information website.

Kaiser Permanente service areas include all or parts of: • California • Colorado • Georgia • Hawaii • Maryland • Oregon • Virginia • Washington • Washington, D.C. As a Kaiser Permanente member, you're covered for emergency and urgent care anywhere in the world.

Welfare and Institutions Code section 14124.1 (which relates to Medi-Cal patients) specifies a ten-year retention period. The Knox-Keene Act requires that HMO medical records be maintained for a minimum of two years under Title 28 of the California Code of Regulations (CCR) section 1300.67.

If you already have your records, you can contact our Health Information Management Services (HIMS) Department by email at mashimspmr@kp.org, or by fax at 855-902-4974. We will only include specific documents in your Kaiser Permanente medical chart. Please also bring records to your first appointment.

HIPAA Authorization for the Use or Disclosure of Health Information from Kaiser Permanente. Completion of this document authorizes the use and disclosure of health information about you.

San Francisco 415-833-3778 SF-ROI-Department@kp.org Fax 877-768-3119. For your convenience, you may request your records using phone, email, or by visiting any of our locations.

You can view them online or request electronic copies if you get care at a Kaiser Permanente medical office. You can also request your health information be sent to any person or entity. If you get care from a non-Kaiser Permanente provider, contact them to get copies of your record, or to have your record transferred.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232