Medical Records

If you need your medical records faxed to a doctor’s office outside of the Adventist Health system, please fill out the authorization form below, make a copy of your valid photo ID, and send these to our team and we will be happy to assist in processing this request. Please allow 7 to 10 business days for processing of medical records for personal use.

Monday-Friday | 8:00 a.m. - 4:00 p.m.

Hospital records
Phone: (707) 463-7353 | Fax: (707) 463-7382
404 E. Perkins Street, Ukiah, CA

Clinic records
Phone: (707) 463-7468 | Fax: (707) 463-8006
404 E. Perkins Street, Ukiah, CA

Please complete the patient request form here: English version / Spanish version, make a copy of your valid photo ID, and send to us using one of the options above. Please allow 7 to 10 business days for processing of medical records for personal use.

To request a CD of your X-ray images:
Please contact the Radiology Department at (707) 463-7647.