Medical Records - Hospital

Please note: We are unable to offer pick ups for patients and families requesting their records in-person.

A patient over the age of 18 or his/her legal representative, may obtain a copy of their medical records. Picture ID is required. MarinHealth requires a completed and signed Authorization for Release of Health Information form before releasing any documents to anyone, including the patient. In certain cases, a patient's physician, psychologist or social worker may also be required to approve a request made using a release form. We do not accept fax requests from patients.

How to request a copy of your medical records:

Print and complete the Authorization for Disclosure of Health Inform form:

The release form must be completed, dated and signed and a valid color copy of your photo ID attached. We ask that you specify what components of your medical records you wish to obtain. Often, the discharge summary, operative report and history and physical contain relevant information to suit your needs. Requests must be specifically signed/initialed if requesting/authorizing the following information:

  • Psychiatric Care
  • Substance Abuse
  • HIV

Mail the completed form to:

  • MarinHealth Medical Center
    C/O Medical Records Dept.,
    250 Bon Air Road
    Greenbrae, CA 94904

Acceptable forms of original photo ID include:

  • Driver’s license
  • Passport
  • Immigration Documentation

Release of information charges:

  • No charge for up to 30 page count
  • $0.25 per page 31 pages and over
  • Radiology images/CD’s $5.00

If you have any questions regarding release of health information, please call 1-415-925-7270. Your request will be processed within 15 days. We will mail a copy of the medical records to the address you provide.

Personal Representative

A patient’s personal representative must bring their picture ID and the durable power of healthcare. If the patient is deceased, the personal representative must provide proof of being the executor or administrator of the estate and provide the patient’s death certificate.

Patient Rights

If you believe your health information was used or shared in a way that is not allowed under the HIPAA privacy law, or if you weren’t able to exercise your rights, you can file a complaint with your provider or health insurer. You can also file a complaint with the U.S. government.

A separate law provides additional privacy protections to patients of alcohol and drug treatment programs.

Contact Us

  • Mailing Address:
    MarinHealth Medical Center
    C/O Medical Records Dept.,
    250 Bon Air Road
    Greenbrae, CA 94904
  • Phone: 1-415-925-7270 (Option 1)
  • Email: