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  • Sutter Health My Health Online Release Of Information Request 2023

Get Sutter Health My Health Online Release Of Information Request 2023-2025

M y H e alt h O nil n e R el e as e of I NF or m ATI o n R e q u e STS U T T E R H E AL T H U S E O NL Y M R N: D O B: D o c T y p e: D O S S el e ct Y our S utter Affine at e / Hos pit all S utter.

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Only you or your personal representative has the right to access your records. A health care provider or health plan may send copies of your records to another provider or health plan only as needed for treatment or payment or with your permission.

Contact your GP surgery You can ask for your GP record at your GP surgery. They can give you a printed copy of your record or send you a digital version.

You can request your medical records via your health care provider's online patient portal, ask for copies of your records in person at your doctor's office or put the request to your provider in an email or letter.

If the office doesn't have a form, you can make a written request, providing: Your full name. Social Security number. Date of birth. Address. Phone number. Email address. The list of records being requested. The dates of service.

What is a Medical Records Release? A Medical Records Release is used to request that a health care provider (physician, dentist, hospital, chiropractor, psychiatrist, etc.) release a patient's medical records, either to the patient, a third party (such as an employer or insurance company), or both.

In addition, two categories of information are expressly excluded from the right of access: Psychotherapy notes, which are the personal notes of a mental health care provider documenting or analyzing the contents of a counseling session, that are maintained separate from the rest of the patient's medical record.

What Is a Release of Information? A release of information is a document that gives a consumer the opportunity to decide what material they want released from their medical file, who they want it delivered to, how long the data can be issued, and under what statutes and guidelines it is released.

Main Phone Number: (650) 321-4121. Medical Records: (650) 853-2963.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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