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Medical Records

The Health Information Department (Medical Records) will be responsible for responding to all requests for medical records.

For your convenience, Release of Medical Information forms are now available on line in both English and Spanish.  To request copies of your medical records: print, complete and sign the form.  You may fax the completed form to the Medical Records Department, mail it, or bring the form to our office.  Our hours of operation are Monday through Friday, 8:00 a.m. to 4:00 p.m.

Bellflower Medical Center , Health Information Department

9542 E. Artesia Boulevard

Bellflower , CA  90706

Telephone:  562-925-8355, Ext. 479  Fax:  562-565-2423

Requests for copies of medical records are to be made in writing only.  When a request is received, processing time is approximately five (5) business days.

Retention guidelines are in accordance with the State of California:

  • Adults (age 18 and over) - records are maintained for ten (10) years from the last date of service.
  • Minors (age 0-17) - records are maintained up to the age of majority (age 19) or ten (10) years, whichever is longer.

NOTE:  Information sent to another healthcare provider (physician or hospital) will be at no charge. If the request is for the patient's personal use, there will be a $15.00 retrieval/labor cost and $0.25 per page cost for each page copied.

All medical records are protected health records and, in some circumstances, there are conditions that are considered sensitive protected health records:

  • Substance Abuse
  • Mental Disorders
  • HIV/AIDS
  • Child Abuse

  Authorization for use or disclosure of health information
 
Autorización para el uso o divulgación médica