For Community Regional Medical Center patients with questions regarding transition support to United Health Centers, please call or text 559-484-2168. To learn more please visit our info page.

Release of Information

Do you need copies of your medical records for tax purposes, school, or other purposes?

Please fill out and return the form below along with a copy of your ID in one of the following ways:

1. Mail

Mail the completed form to our Administration Office (Attn: Medical Records Department): 3875 W. Beechwood Ave. Fresno, CA 93711 

2. Fax

Fax the completed form to our Medical Records Department at 1-855-771-5224

3. Drop-Off

Drop off the completed form at any of our health centers.

Please note: The completed form must be submitted with a copy of the ID of the patient or patient's representative (whoever signed the form).


Authorization for release of Information - English

Autorización para divulgar Información- Spanish