Open Accessibility Menu

Patient Release of Information Requests

Release of Information Desk Closed

Health Information Management (HIM) has closed the Release of Information desk at the Acequia Wing. All patient release of information requests can be submitted via email, fax, or mail.

We understand that access to your medical information is important and essential; we will still be available to process your requests for release of information remotely. We will do our due diligence to process your requests in a timely manner.

Patient Requests for Medical Records/Results

Once Kaweah Health's Health Information Department has received your request, it can take anywhere from 3 - 5 days to process it. To request a copy of your medical record, please complete the “Authorization to Disclose Health Information” form below:

To submit your request and copy of valid Identification


Fax: (559)-741-4888

Mail: Attn: Health Information Management
400 West Mineral King
Visalia CA, 93291

If you have any questions please email at - or call us at (559) 624-2218, during our normal hours of operation: Monday-Friday 8:00am-4:30pm


If you have not signed up for the myHealth, we encourage you to so by calling (559) 624-5120 or email

Medical Provider Requests for Medical Records/Results

For continuity of care purposes, please fax or email your request on your letter head and include the following information on your request:

  • Patient Name
  • Date of Birth
  • Dates of service being requested
  • Type of reports being requested

**Your call back/contact information including:

  • Contact
  • Call back number (including extension number)
  • Fax number

Submit your requests via fax or email:

Fax: (559) 741-4888