{"id":9337,"date":"2021-03-24T08:56:43","date_gmt":"2021-03-24T15:56:43","guid":{"rendered":"https:\/\/wp.sbcounty.gov\/dbh\/?page_id=9337"},"modified":"2025-05-19T09:20:08","modified_gmt":"2025-05-19T16:20:08","slug":"medicalrecords","status":"publish","type":"page","link":"https:\/\/wp.sbcounty.gov\/dbh\/medicalrecords\/","title":{"rendered":"Medical Records"},"content":{"rendered":"\n<div data-isd-block-id='isd-slider-block_3b3ba5f87fa75296021febd1852d4a8f' class=\"\">\n\t\t\t<div class=\"hero-slider slider-wrapper\">\n\t\t\t<div id=\"slider-isd-slider-block_3b3ba5f87fa75296021febd1852d4a8f\" class=\"carousel slide slider-carousel slide half\" data-bs-ride=\"true\">\n\t\t\t\t<div class=\"carousel-inner slides-1\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"carousel-item active desk-center-center mobi-center-center half\" data-background=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/04\/Website-Sliders-16.png\"  style=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"hs-slide-wrapper has-content has-overlay\">\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"hs-content-wrapper left-align\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"slide-container  dark-background  rounded-corners\">\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"slide-content text-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"slide-heading\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h1 class=\"section-heading\">Medical Records<\/h1>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<p>Learn more about accessing medical records.<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\n\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t\n\n\n\n<section style=\"background:#eeeeee\" class=\"wp-block-isd-layout has-background\"><div class=\"isd-background-fixed-max-width-container\"><div class=\"isd-layout-content-wrapper\" style=\"max-width:1748px;margin-bottom:0rem;margin-top:0rem;padding-bottom:3.75rem;padding-top:3.75rem\">\n<div class=\"wp-block-isd-row large-100 desktop-none desktop-order-1 tablet-none tablet-order-1 mobile-none mobile-order-1 frontend ctnrQueryRow\" style=\"margin-bottom:0rem;margin-top:0rem\">\n<div class=\"wp-block-isd-column\">\n<p>DBH medical records are maintained in a secure manner and are released only with a completed authorization form and only to:<\/p>\n\n\n\n<ol style=\"list-style-type:1\" class=\"wp-block-list\">\n<li>A client requesting his or her behavioral health medical records or<\/li>\n\n\n\n<li>A recognized entity with a legal right to review the contents.<\/li>\n<\/ol>\n\n\n\n<p>Consumers may request a copy of his or her behavioral health medical records with a properly completed <a rel=\"noreferrer noopener\" href=\"https:\/\/wp.sbcounty.gov\/wp-content\/uploads\/sites\/121\/2021\/08\/COM001_E.pdf\" target=\"_blank\">Authorization for Release of Protected Health Information form<\/a>. Please download, print, and fill out the form completely. Authorizations not appropriately signed will not be processed. An $0.25 per page fee applies to receive copies of the medical record. Minor children between the ages of 12 and 17 may need to sign his or her own authorization. Prior to release, personal access release requests for medical records need to be approved by designated DBH staff.<\/p>\n\n\n\n<p><a href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM021_E-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Access to Medical Records Request<\/a><br \/><a href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2016\/08\/COM021_S.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Solicitud de Acceso a los <\/a><a href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM021_S-1.pdf\">Registros <\/a><a href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2016\/08\/COM021_S.pdf\">M\u00e9dicos<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/wp.sbcounty.gov\/wp-content\/uploads\/sites\/121\/2021\/08\/COM001_E.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Authorization for Release of Protected Health Information<\/a><br \/><a rel=\"noreferrer noopener\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM001_S-4.pdf\" target=\"_blank\">Autorizaci\u00f3n Para Divulgar Informaci\u00f3n M\u00e9dica Protegida<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/01\/Compliance_MR-Fee-Schedule-English-Final-01.02.25.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Protected Health Information (PHI) Fee Schedule (English)<\/a><br \/><a href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/01\/Compliance_MR-Fee-Schedule-Final-review-12.27.24-lw_Final-SPANISH-003.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Protected Health Information (PHI) Fee Schedule (Spanish)<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/05\/Patient-Access-API-Member-Education-and-Resources-2025.05.15.pdf\">Patient Access API Member Education and Resources<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/wp.sbcounty.gov\/dbh\/developersapis\/\">Developer API Resources<\/a><\/p>\n\n\n\n<p>Completed forms can be presented to the clinic where the consumer is currently being seen. For consumers that are not currently being seen, the request can be sent to the Medical Records Unit.<\/p>\n\n\n\n<p>For more information, call (909) 421-9350 or email <a href=\"mailto:DBH-MedicalRecords@dbh.sbcounty.gov\" target=\"_blank\" rel=\"noreferrer noopener\">DBH-MedicalRecords@dbh.sbcounty.gov<\/a><\/p>\n\n\n\n<div id=\"_ccfd40-dd\" class=\"wp-block-isd-accordion\"><div class=\"accordion-inner-wrapper\">\n<div class=\"wp-block-isd-accordion-pane card\"><div class=\"accordion-trigger-wrapper \" id=\"heading-_21468c-b3\"><button class=\"btn btn-link accordion-trigger icon-right iconStyle-basic\" data-bs-toggle=\"collapse\" data-bs-target=\"#_21468c-b3\"><span class=\"isd-blocks-accordion-title\">FAQs<\/span><span class=\"fas\"><\/span><\/button><\/div><div id=\"_21468c-b3\" class=\"collapse\" aria-labelledby=\"heading-_21468c-b3\" data-parent=\"#_ccfd40-dd\"><div class=\"card-body\">\n<h4 class=\"wp-block-heading has-primary-color has-text-color\">Q: Is there a charge for copies?<\/h4>\n\n\n\n<p>A: A flat fee of $ 0.25 per page is the cost for copies of records for personal use. Please refer to the Authorized Release of Protected Health Information (PHI) Fee Schedule.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-secondary-color has-css-opacity has-secondary-background-color has-background is-style-wide w-100\" \/>\n\n\n\n<h4 class=\"wp-block-heading has-primary-color has-text-color\">Q: May my spouse request and receive copies of my medical record?<\/h4>\n\n\n\n<p>A: Only with an appropriately signed Authorization for Release of PHI form or legal paperwork identifying the spouse has rights to request medical records<\/p>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-secondary-color has-css-opacity has-secondary-background-color has-background is-style-wide w-100\" \/>\n\n\n\n<h4 class=\"wp-block-heading has-primary-color has-text-color\">Q: When can I expect to receive my copies?<\/h4>\n\n\n\n<p>A: It may take up to 15 days to fulfill your request. Requests for behavioral health records will require approval by the DBH treatment team.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-secondary-color has-css-opacity has-secondary-background-color has-background is-style-wide w-100\" \/>\n\n\n\n<h4 class=\"wp-block-heading has-primary-color has-text-color\">Q: Can the copies be mailed to me?<\/h4>\n\n\n\n<p>A: Copies will be mailed to the address specified on the Authorization for Release of PHI form or you may pick them up during hours of operation. Please indicate your preference on the release form.<\/p>\n<\/div><\/div><\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"<p>Medical Records Learn more about accessing medical records. DBH medical records are maintained in a secure manner and are released only with a completed authorization form and only to: A<span class=\"ellipsis\">&#8230;<\/span><\/p>\n","protected":false},"author":33,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-9337","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/pages\/9337","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/users\/33"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/comments?post=9337"}],"version-history":[{"count":3,"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/pages\/9337\/revisions"}],"predecessor-version":[{"id":75772,"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/pages\/9337\/revisions\/75772"}],"wp:attachment":[{"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/media?parent=9337"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}