fax other
Health information management / medical records release
323-201-3212
Signed medical-records authorization form.
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California
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Fax the signed Authorization for Use and Disclosure form (with photo ID) to AltaMed HIM; processed within 15 business days. Third parties can use AltaMed's third-party portal. The phone is AltaMed's Patient Service Center for immediate/in-person pickup requests.
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