Medical Records Requests
Requesting Records Via Fax/Mail
To start your request, simply download, print, complete, and sign the Records Request Form.
Please be sure to sign the form, unsigned requests cannot be processed. Please include a copy of your valid ID card or driver license.
Fax the form to: (855) 698-4171 - or - Mail the form to: Attention: Medical Records, 500 W. Hospital Road, French Camp, CA 95231
Your request will be processed and fulfilled within 15 business days from the day it is received. Please allow reasonable time to process your request. We will mail your medical records to the address specified on the authorization form. An invoice may accompany medical records requests.
Requesting Records In Person
SJGH Release of Information Office
Hours: Monday through Friday 10:00 am – 2:00 pm.
For More Information
If you have questions or would like more information,
please call us at (209) 468-6650.
Access Your Records Online
We currently offer an Online Patient Portal for SJGH Clinic patients. You or a designated family member can view your clinic health records. For help enrolling visit our Patient Portal.
Medical Records Request Forms
Download: Request for Access to Medical Information Form