Health Information Management (HIM)

For Patients in Castro Valley, Dublin, Fremont, Los Altos, Menlo Park, Palo Alto & Redwood City

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 – 650-853-4745
Medical Records Release Fax – 650-853-6093

Michal Williams, RHIA, HIM Director and Privacy Officer – 650-853-4859

Medical Records
For questions about your medical records, please call 650-853-2963.

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.".

Please include a check (made payable to ACTA Medical Services) with your authorization form. You can also pay with a credit card by calling 650-853-4745.

Forms cannot be accepted by fax. Please mail your completed form to:

ACTA
Palo Alto Medical Center
795 El Camino Real
Palo Alto, CA 94301

Your request will be processed and mailed to you in three to five business days.
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