Health Information Management (HIM)
Burlingame, Daly City, San Carlos & San Mateo
Health Information Management (HIM) is a vital component of the Palo Alto Medical Foundation (PAMF), health care system.
The following information will help you get the most out of the HIM Department.
Contact Information for PAMF Palo Alto Division Health Information Management
Health Information Privacy (HIPAA) Hotline – (650) 853-5375
Medical Records Release – (650) 240-8118
Medical Records Release Fax – (650) 240-8506
Sarah Kitterman, Privacy Officer – (650) 934-3517
For questions about your medical records, please call (650) 240-8118.
To authorize disclosure of your confidential medical information, please print and fill out the Authorization for Use and Disclosure of Health Information Form (PDF, 80kb)
Form is also in Spanish, Autorización para el uso y divulgación de historial médico. (PDF, 86kb)
The release form requires a $5 deposit.
- Fee is 15 cents per page. We will bill you with any balance due.
- We accept cash, check or Visa/Mastercard.
- Checks are payable to: "ACTA Medical Services, Inc.".
Forms cannot be accepted by fax. Please mail your completed form to:
PAMF Mills-Peninsula Division
577 Airport Blvd, 4th Floor
Burlingame, CA 94010
Your request will be processed and mailed to you in three to five business days.
Back to top