Humboldt Neurological Medical Group
Medical Records

Patients requesting a copy of their medical records must complete a medical release form.
Please allow at least 5 business days for the records to be copied.



Please mail, fax (707) 443-0258, or hand carry this form to our office.  Please indicate how
you would like to receive these records
.

We will provide a copy of your medical records to you, one time, at no charge. Repeated
requests will incur a nominal fee.  We do not charge for records sent to another care
provider.



What is HIPAA?

HIPAA is an acronym for the
Health Information Portability and Accountability Act of 1996.  
This is federal protection describing how medical information about you can be used and
disclosed and how you can have access to this information.  Every patient is required to
sign that they have been provided with a copy of our policy.


Click here to view our policy.

For more detailed information, see
Understanding HIPAA Privacy
Phone  (707) 443-9385              2828 O'Neil Lane, Eureka, CA 95503              Fax (707) 443-0258
                                                                                                                    New Referral fax:
(707) 442-2362