Request a Copy of Your Medical Record
Once Kaweah Delta's Health Information Department has received your request, it can take anywhere from 5-7 days to process it. To request a copy of your medical record, please complete the “Authorization to Disclose Health Information” form below:
Download English Authorization Form
Download Español Authorization Form
Bring the completed form, along with photo identification to:
Health Information (Medical Record) Department Support Services Building, Third Floor, 520 Mineral King Ave.
8 a.m. to 4:30 p.m. Monday through Friday except holidays (copies are not made after 4 p.m.).
A charge of $0.25 a page for medical records is charged for printing and processing records upon request by patient/patient representative. This department accepts cash only (no personal checks or debit cards).
to send an e-mail to Kaweah Delta's Health Information Department.