Dignity Health Central Coast medical records

You have the right to get a copy of your medical records. You can also ask for your records to be sent to another person or organization. This could be another health care provider, a family member or a legal representative.

To request your records, complete an authorization for the release of health information form. You can submit the form by mail, fax or in person at one of our medical records departments. Clearly state who can receive your records and for what purpose.

To obtain a copy of your records for yourself, please download and complete one of the forms below:

• English: Patient Access Request Form

• Spanish: Formulario de solicitud de acceso al paciente

To have your medical or billing records sent to someone else, download and complete the Authorization to Disclose Form.

After completing the form, please mail your request to:

Marian Regional Medical Center/Arroyo Grande Community Hospital
Health Information Management Department
1400 E Church Street
Santa Maria, CA 93454

You may also fax your completed form to (805) 739-3069. Questions? Please call (805) 739-3300.

To obtain a copy of your records for yourself, please download and complete one of the forms below:

• English: Patient Access Request Form

• Spanish: Formulario de solicitud de acceso al paciente

To have your medical or billing records sent to someone else, download and complete the Authorization to Disclose Form.

After completing the form, please mail your request to:

French Hospital Medical Center
Health Information Management Department
1911 Johnson Ave
San Luis Obispo, CA 93401

You may also fax your completed form to (805) 542-6320. Questions? Call (805) 542-6526.

Patients can submit medical record requests by mail, fax or in person. Complete the Authorization for Use and Disclosure of Protected Health Information form, available at our Pacific Central Coast Health Centers locations, or download it here: 

• English form

• Spanish form

Submit completed forms directly to VRC by fax at (805) 614-2648 or mail to: 

VRC Companies, LLC.
2451 S. Buffalo Dr. Ste 130
Las Vegas, NV 89117.

For personal use or third-party requests, a processing fee applies based on processing time, media type, delivery method and California sales tax. VRC will provide advance notice of charges, and payment is due before delivery. No fee applies for records sent directly to another health care provider. Records can be delivered via VRC’s secure electronic portal, USPS mail or other carriers. 

For status questions, please call the IDS Customer Service Department at (702) 822-6400.