El Camino Hospital is committed to protecting your medical information. For information about your rights and the obligations we have regarding the use and disclosure of your medical information, please see our Notice of Privacy Practices.
To obtain a copy of your medical records from El Camino Hospital, please download and complete an Authorization to Release Medical Information form located on the right side of this page. You may also use this form to have your medical records sent to another medical facility.
Completing An Authorization
The Health Insurance Portability and Accountability Act, also known as HIPAA, requires hospitals to obtain an original, complete and properly executed Authorization for Disclosure of Health Information form in order to provide a copy of a patient's medical record to a patient or anyone he or she designates.
Only the patient, parent/legal guardian or the patient's legal Health Care Representative can sign the form to release medical records.
The authorization form must be legible and complete. Authorizations that are illegible or incomplete will be returned. Requests for information regarding any of the following items must also be specifically initialed on the form:
- AIDS/HIV
- Mental Health
- Chemical Dependency
Fees
For pricing information please contact the Medical Records department at one of the following locations:
At our Mountain View location: 650-988-7462
At our Los Gatos location: 408-866-4094
Records released to a physician's office or a medical facility are free of charge.
Processing A Request
Records are usually available within 7 to 10 business days from the time the request is received.
If you are interested in picking up your medical records in person, when they become available, please note this at the top of the request form. If you plan to come to the Medical Records department to pick up a request that you have submitted, you must have a photo ID with you. To arrange for another individual to pick up the documents for you, please contact the appropriate Medical Records department for instructions. (In Mountain View at 650-988-7462; in Los Gatos at 408-866-4094).
Once your Authorization for Disclosure of Health Information form is completed, you may submit your request by mail, fax or in person.
El Camino Hospital Mountain View
Mail:
El Camino Hospital
Attn: Medical Records Department
2500 Grant Road
Mountain View, CA 94040
Fax:
650-988-8246
In Person:
El Camino Hospital
Ground Floor
2500 Grant Road
Mountain View, CA 94040
Office Hours:
8:00 a.m. – 4:30 p.m. | Monday – Friday
El Camino Hospital in Los Gatos
Mail:
El Camino Hospital Los Gatos
Attn: Medical Records Department
815 Pollard Road
Los Gatos, CA 95032
In Person:
El Camino Hospital Los Gatos
Conference Center Building, Room T1183
815 Pollard Road
Los Gatos, CA 95032
Office Hours:
7:00 a.m. - 4:30 p.m. | Monday - Friday
Birth Certificates
Birth certificates for individuals born at El Camino Hospital in Mountain View or Los Gatos may be obtained from the Santa Clara County Office of the Clerk Recorder. Visit its web site at www.clerkrecorder.org or call 408-299-2481 for more information. El Camino Hospital does not keep or maintain birth certificates.
Assistance
If you have questions, are unsure what medical records you need, or would like more information regarding the process of receiving your medical records, please do not hesitate to contact us. At our Mountain View campus, the Medical Records Information desk is available at 650-988-7462, Monday through Friday, from 8:00 a.m. to 4:30 p.m. At our Los Gatos campus, the Medical Records Information desk is available at 408-866-4094, Monday through Friday, from 7:00 a.m. to 4:30 p.m.
Please note that your medical records do not contain any billing information. Visit the Billing & Insurance section of this web site for information about your hospital bill.