Citrus Heights Medical Office
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Why Choose Us
All patients or their legal representatives of Mercy Medical Group (MMG) belonging to Dignity Health Medical Foundation may obtain and/or review a copy of medical records for personal use, or have copies of their medical records send out to their new healthcare provider. Patient requests submitted through this website are for the Dignity Health Medical Foundation-Greater Sacramento Services Area only.
The Health Information Management Department of Dignity Health Medical Foundation requires a completed and signed authorization form to release medical information to another entity, including the patient.
If you have any questions regarding release of medical information, please call at 916-363-4040 or 916-473-1395. Press “0” to connect to our main line and press “1” to connect to a legal/subpoena Associate.
For Hospital Medical Records, Medical Imaging, and Billing records, please contact the numbers below:
If you need medical record information from other services areas, please contact the appropriate Release of Medical Information office:
9500 Stockdale Hwy, Suite 200–201
Bakersfield, CA 93311
3638 San Dimas St.
Bakersfield, CA 93301
1595 Soquel Dr., Suite 370
Santa Cruz, CA 95065
315 Mercy Ave., Suite 400
Merced, CA 95340
Redding (North State)
2780 Eureka Way
Redding, CA 96001
Redding (North State)
2526 Sister Mary Columba Dr.
Red Bluff, CA 96080
Phone: 530. 528.6163
550 St. Charles Dr., Suite 200
Thousand Oaks, CA 91360
3132 W. March Ln., Suite 5
Stockton, CA 95219
1207 Fairchild Court
Woodland, CA 95695
If you are requesting records for yourself, please use the Patient Access form:
Download the form
Third Party and Legal Requests: If you are requesting records to be sent to a third party, please use the Authorization of Use and Disclosure form:
If you are requesting your Behavioral Health Record, please use the Behavioral Health Release of information form:
(Note: We do not accepted photos of completed authorization forms)
You can also deliver or mail your completed Authorization form to the address below:
Dignity Health Medical Foundation
Health Information Management (ROI Department)
10995 Gold Center Drive, Suite 290, Second Floor
Rancho Cordova, CA 95670
Fax number: 916-366-3662
Email us your ROI form in a PDF file: [email protected]
Business Hours: Mon. – Friday, 8:00 a.m. – 4:30 p.m. excluding holidays.
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