Your CHC Health Information Team is here to make sure your health data is just as well cared for as you are. Protecting your privacy is our top priority.
At Children’s Health Council (CHC), we uphold the confidentiality and privacy of our clients’ medical records while ensuring access to their information in a secure and compliant manner. Whether you are a parent, client, or legal representative, you have the right to review, obtain copies of medical records, or authorize the transfer of medical records to another facility.
To access or receive copies of your child’s medical records, please complete the Medical Records Request Form. This form enables you to directly request and receive the necessary medical records.
Adult clients can directly request their medical records using the Medical Records Request Form for their personal use or review. This form allows you to access your complete medical history and treatment records maintained by CHC. Whether you need your records for personal reference, review, or to share with other healthcare providers.
If you wish to have medical records sent to another individual or organization (such as another healthcare provider, school, or legal representative), you must fill out the Authorization for Release of Health Information Form.
Complete the Authorization for Release of Health Information Form to grant CHC permission to disclose your medical records to designated individuals or organizations, including parents, healthcare providers, schools, or legal representatives.
To access or receive copies of your child’s medical records, please complete the Medical Records Request Form. This form enables you to directly request and receive the necessary medical records.
Adult clients can directly request their medical records using the Medical Records Request Form for their personal use or review. This form allows you to access your complete medical history and treatment records maintained by CHC. Whether you need your records for personal reference, review, or to share with other healthcare providers.
If you wish to have medical records sent to another individual or organization (such as another healthcare provider, school, or legal representative), you must fill out the Authorization for Release of Health Information Form.
Complete the Authorization for Release of Health Information Form to grant CHC permission to disclose your medical records to designated individuals or organizations, including Parents, healthcare providers, schools, or legal representatives.
Please allow up to 14 days for your request to be processed. If you indicated the option to pick up your medical records, we will contact you when your records are ready. A photo ID is required. (If an individual other than the parent or client is picking up the records, they must have an original signed authorization letter from the client and a photo ID.)
Once you have reviewed your records, if you find an error that requires correction, please discuss it with your clinician and review our Notice of Privacy Policy.
For questions regarding your medical records, contact the CHC Medical Records Office:
Voicemail Instructions: Please leave your name, child’s name, and child’s date of birth.
For questions regarding your billing records, contact the CHC Business Office:
CHC takes your privacy very seriously and follows all HIPAA regulations. If you have any questions about how we protect, secure, and manage your health information, please contact our Chief Compliance Officer at [email protected] or 650-688-3612.
