Medical Records Transfer

We want to provide you with excellent service when you need a copy of your records and imaging studies. Below are steps on how to obtain your records. If you have questions please call 925-939-8585 and ask for the medical records department.

NOTE: If you are requesting medical records for your lawyer, please ask your lawyer to call 925-939-8585 and ask for our medical records department.

How To Request Medical Records And Images (X-Rays, MRI etc)

1. FILL/SIGN RELEASE FORM

First download the GSOS Medical Records Release Form, then complete it and sign it. You will the provide this form to us by mail, or you can provide it in person to one of our offices as shown below.

GSOS Medical Records Release Form For East Bay Patients

GSOS Medical Records Release Form For South Bay Patients

2. PAYMENT

If paying by credit card you can download the Credit Card Authorization Form. Complete this form with your payment details. If paying by check, please prepare a check for the amount shown, payable to “Golden State Orthopedics & Spine”. The fees are shown on the release form and below

  • $15 for images on CD (X-Rays and MRIs). Any reports will be included with the CD at no additional charge
  • $20 fee for a paper copy of medical records
  • $35 for both of the above in one request – CD of images and paper copy of records

3. PROVIDE FORMS & PAYMENT

The records release form and credit card authorization or check can be either mailed to us or brought in person to one of our orthopedic offices. If mailing, please send to the following address:

EAST BAY PATIENTS
Golden State Orthopedic & Spine
Attn: Medical Records
2405 Shadelands Drive
Walnut Creek CA 94598

SOUTH BAY PATIENTS
Golden State Orthopedic & Spine
Attn: Medical Records
340 Dardanelli Ln. #10
Los Gatos, CA 95032

You can also fax the forms to us at: 925-933-4932 (East Bay)  or 408-412-8499 (South Bay) for the attention of medical records.

If bringing your request and payment in person, you may do so to any of the following locations. You may also pick up your records (when ready) at these locations. Please make sure you list your desired pick-up location on your request form. Click on the link to see the address and directions of medical records locations:

Brentwood
Capitola
Concord
Dublin
Los Gatos
Oakland
San Ramon
Walnut Creek Redwood (2625 Shadelands)
Walnut Creek Sequoia (2405 Shadelands)

4. RECEIVE RECORDS/IMAGES

Once we receive payment and your completed request, we will begin processing. Payment of fees must please accompany your form. YOUR REQUEST WILL NOT BE PROCESSED UNTIL PAYMENT IS RECEIVED. If you are picking up your records yourself, you will receive a phone call to let you know that your copies are ready to be picked up. Our standard processing times are:

  • For images CD only: 5 business days
  • For printed chart records only: 7 to 10 business days
  • For images CD and printed chart records: 7 to 10 business days.

If you have an urgent need for your copies we will do everything we can to assist you. Please let us know of your need when you submit your request form.

A picture i.D. must be presented when you are picking up your records, whether being picked up by you or another person. If someone else will be picking up your records, please list them as the authorized person where shown on the request form. They MUST be listed on the form in order to be able to pick up your copies.

NOTES

  • If you are requesting copies of images or records that have been loaded into our system but were not originally requested by us, those studies are the legal property of the facility that performed them and you will need to request them from that facility
  • California State law AB 610 provides that medical records, including x-rays, are the property of the institution taking them and the physician ordering them. This law provides for the recovery of costs associated with the providing of this service. Such costs as shown above include clerical and material expenses.