How Do I Obtain My Medical Records?Are you interested in printing or viewing your laboratory results, radiology reports and a summary of your immunizations, medications and allergies? This option is free and available 24/7 at: Patient Portal.
If you would like to request a copy of your medical record from Health Information Management, please download an Authorization for Release of Health Information. You will find answers for many of the questions you may have about the medial records release process. If you don’t find your answer to your question, please feel free to contact our business office. We value the importance of protecting our patient’s health information at Twin Cities Community Hospital. We look forward to assisting you with your medical record request and providing you with excellent customer service.
How may I obtain a copy of my medical records?
An Authorization for Release of Health Information is required for any use or disclosure of Protected Health Information (PHI).Download the Authorization for Release of Health Information in Spanish here.
Who may sign an Authorization for Release of Health Information?
The patient must sign the authorization unless the patient is a minor or declared physically or mentally incompetent. If the patient is a minor, one of the patient’s parents would sign the authorization. If the patient is mentally or physically incompetent the patient’s legal guardian would sign the authorization and provide a copy of the Durable Power of Attorney of Health Care. If requesting records on a deceased patient, please see requirements on the Authorization for Release of Health Information.
How do I complete a medical records request?
Mail, fax or email the completed form to the Health Information Management office. You may also complete the Authorization for Release of Health Information form in person at our office during business hours. Our copy service, CIOX, will process your request. Hours of operation are Monday through Friday 8:00 – 4:30 pm. Closed weekends and holidays.
Mailing Address and Customer Service Office: Health Information Management Department at 1100 Las Tablas Rd., Bldg 1220., Ste 1427, Templeton CA 93465.
Fax: (805) 434-4586
Please note: Unsigned and/or incomplete requests cannot be processed.
How can my physician obtain my medical records?
Your physician may fax a request to our department to request your health information for treatment. You may also complete an Authorization for Release of Health information and submit it to the Health Information Management office with your physician’s contact information.
How can I obtain my Radiology Imaging?
To obtain a copy of your imaging on a CD or film, please print and complete a separate Authorization for Release of Health Information form. Please contact the Radiology Department at (805) 434-4610 Monday through Friday 7:30 – 4:00 pm.