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Medical Records Request

Sierra Health + Wellness

Medical Records Request

To request a copy of your medical records from Sierra Health + Wellness, please follow the instruction below.

How to Request a Copy of Your Medical Records

  1. Download and complete the Medical Records Authorization form.

  2. Send the completed form by email, fax or U.S. mail.

  3. Please allow 14 business days for your request to be processed.

* Must Sign Document Using: Docusign, Adobe Signature, or Physical Signature.

Submit Completed Request Form

Attn: Medical Records

Email to: medicalrecords@sierrahwc.com

Fax to: (530) 317-1513

Mail to:
Attn: Medical Records
Sierra Health & Wellness Centers
9985 Folsom Blvd.
Sacramento, CA 95827

Request Form PDF (English)