Open Accessibility Menu

Request Your Medical Records

Medical Records

Release of Information

A patient, or his/her legal representative, may inspect and/or obtain a copy of their medical records, or have copies of medical records sent to another facility. Washington Hospital Healthcare System requires a completed and signed Authorization for Use or Disclosure of Health Information form before releasing any documents to anyone, including the patient.

How to Request a copy of your medical records:

  • Print and complete the Authorization for Use or Disclosure of Health Information form
  • The release form must be completed, dated and signed
  • Please be sure to include the date(s) of service requested
  • We ask that you specify what components of your medical records you wish to obtain/release. Often, the Discharge Summary, Operative Report and History & Physical contain relevant information to suit your needs.
  • If you request your complete medical record, there will be a service fee. There is also a processing time of up to 15 days for a copy of the complete medical record.
  • Requests must specify requesting/authorizing the following information:
    • Mental Health Treatment Information
    • HIV Test Results
    • Alcohol/Drug Treatment Information

If you have any questions regarding release of information, please call 510.818.6629.

You may deliver your forms via email or by mail. A photo ID is also required, so please be sure to include a color copy of your photo ID with any request.

Please mail to:
Washington Hospital Healthcare System
Attn: Health Information Management Department (HIM)
2000 Mowry Ave.
Fremont, CA 94538

Or email: Email:

For telephone support, call call 510.818.6629, Monday thru Friday, 8 a.m. to 4:30 p.m. (closed on holidays)

Imaging Results
New! Access your imaging results with PocketHealth.

PocketHealth is a secure web platform that allows you to access, share and permanently store your medical imaging results.

Patients can enroll through their MyChart account or directly at Questions? Contact the Imaging Library at 510.818.7032.