Information contained in a patient’s medical record assists in mutually protecting the medical needs and the legal interest of the patient, and the health care providers responsible for the patient’s care, by documenting the services provided to the patient during his or her stay.
Patients have a right to access their medical records and may request a hard copy of such records by contacting the Medical Records Department at (925) 779-3039.
Please print this form and complete it. You can either mail or fax to:
Medical Records Department
Sutter Delta Medical Center
3901 Lone Tree Way
Antioch, CA 94509
Authorization for Use and Disclosure of Health Information (PDF, 204 KB)
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