Medical Records

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.

To inspect and copy medical/behavioral health information that may be used to make decisions about you, you must submit your request by using the patient request form and send it to the Health Information Management Department via the following methods”

Mail

Adventist Health Howard Memorial
Health Information Management Department
First Floor
1 Marcela Drive
Wllits, CA 95490

Phone

(707) 456-3100

Email

FHMH_MedicalRecords@ah.org

Fax

Please complete the medical release form here, make a copy of your government issued I.D. and fax both to 707-459-7302 to the attention of the Health Information Management Department.

If you have an appointment with a provider and want your records faxed to that doctor, please contact us in any of the ways listed above. There is no need to fill out a form, verbal consent is sufficient.

If you have an emergency situation or for special needs, your request will be expedited. If necessary Medical Records personnel will arrange for you to pick-up records at the medical center. Please allow 7 to 10 days for us to have your medical record available for you.

Our Hours of Operation

The Medical Records Department is open from 8:00 a.m. to 4:30 p.m. Monday through Friday. We are located on the first floor of the medical center.

Click Below to Download the Medical Release Form to send a copy of your records to a third party

Medical Information Release Form (English)

Información Médica Formulario de Autorización (Spanish)

If you would like to request a copy of your medical records for your personal use, please fill out a Patient Access Request form.

Patient Access Request Form (English)