Forms for Download
Medical Records Request Form
To obtain your medical records by December 2023 closure date,
please click below to fill out a medical records request form
to submit to our office.
We must receive this request form no later than December 1, 2023 in order for staff to fulfill request.
Please return this form filled out to:
Mail to: 1839 Sonoma St. Redding, CA 96001
E-mail to: firstname.lastname@example.org
Fax to: (530) 244-0698