Release of Medical Information
Click facility name to expand address, phone, and hours of operation.
Disclosure Authorization Forms
- Disclosure Authorization (English)
- Disclosure Authorization (Spanish)
- Disclosure Authorization (Chinese)
Manage your health information
If you need copies of your health information for your own personal use or to forward to a health care provider or organization, Kaiser Permanente’s Release of Medical Information Departments are here to help you.
Your health – anytime, anywhere
Some of your medical records are already available to you online – anytime, anywhere – with My Health Manager on kp.org. As a registered user, you can review, download, and save to your computer or print the following information:
- Immunization record
- Downloadable Clinical Health Summary
- Hospital Summary
- Past office visits
- Prescription medications
- Most lab test results
Your current health summary, including any allergies and ongoing health conditions
Requesting your records
For your convenience, you may request your records using phone, email, or by visiting any of our locations. Our offices are generally open from 8:30 to 5:00 pm. Please contact the facility closest to you
Release of your records
Fast and Convenient: You can obtain a copy of your recent medical records via email. We can provide copies of your most recent 2 years’ worth of records via email for no fee (free) and they can generally be emailed the same day. A minimal charge applies for records greater than 2 years that are emailed or provided on CD. If you need records on paper, a per page fee will be charged.
Third party authorization
To protect your privacy, your records will not be released to another party without your signed authorization. You will need to submit a disclosure authorization form for us to complete the request. For your convenience we have these forms located on kp.org under Locate our services, then Forms and Publications.
Disability and family leave
We assist your physician in completing disability and Family Medical Leave certifications, too. We will need a physician’s note for time off to assist in completing your paperwork. You may also need to have a visit or discussion with your physician, if you haven’t had one recently, prior to submitting your paperwork. Click the link to complete the Online application for State Disability Insurance. Please retain a copy of your claim receipt and provide it to the Release of Medical Information staff when requesting State Disability Insurance physician certifications.
Forms and correspondence
Working with your personal physician’s office, we can help you complete various forms regarding your health care, including:
- Forms to verify illness or health condition
- School sports clearance
- Department of Motor Vehicles
- Jury duty
- Residential Board and Care forms
Completed forms are returned to you, rather than to a third party, so you can review the information and make a copy for your records first.
Northern California Offices
Central Valley Area (Manteca/Modesto/Stockton)
Diablo Area (Antioch/Walnut Creek)
East Bay Area (Oakland/Richmond/Alameda)
Southern Alameda County (Fremont/Hayward/San Leandro/Union City)
Napa/Solano Area (Vacaville/Vallejo)
North Valley Area (Sacramento/Roseville)
South San Francisco