Medical Record Request
SKU:
$25.00
$25.00
Unavailable
per item
Order a copy of your medical records
You must complete and send in the notarized Certificate of Identity. Please be sure to follow the instructions . If you do not live in California please have the notary strikeout "California" on the Certificate of Identity and put the state in which the form is notarized. It will be accepted with the change. If you do not supply the notarized Certificate of Identity within 5 business days, your order will be cancelled and must be resubmitted. The fee is nonrefundable, and a "No Record Statement" will be issued if the record is not found. Credit card orders will be returned by regular mail unless UPS delivery is requested, which costs an additional $15.
You must complete and send in the notarized Certificate of Identity. Please be sure to follow the instructions . If you do not live in California please have the notary strikeout "California" on the Certificate of Identity and put the state in which the form is notarized. It will be accepted with the change. If you do not supply the notarized Certificate of Identity within 5 business days, your order will be cancelled and must be resubmitted. The fee is nonrefundable, and a "No Record Statement" will be issued if the record is not found. Credit card orders will be returned by regular mail unless UPS delivery is requested, which costs an additional $15.
No requests are accepted via mail or telephone.