Health Information Management (HIM)

For Patients in Aptos, Capitola, Santa Cruz, Scotts Valley, Soquel and Watsonville

Health Information Management (HIM) is a vital component of the Palo Alto Medical Foundation (PAMF), health care system. We maintain, collect and analyze patient health information to help health care professionals such as doctors and nurses provide quality health care.

The following information will identify policies and procedures, to help you get the most out of the HIM Department.

HIM Contact Information for the Palo Alto Medical Foundation – Santa Cruz

Health Information Privacy (HIPAA) Hotline – 650-853-5375
Medical Records Release – 831-458-5520
Medical Records Release Fax – 831-479-6636

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

Medical Records
The Palo Alto Medical Foundation - Santa Cruz Medical Records Department retains patient medical records for current and future physician reference. Your records are considered confidential and are not disclosed to any outside party without your written authorization.

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 831-458-5520.

ACTA – PAMF Santa Cruz
2880 Soquel Avenue
Santa Cruz, CA 95062
or FAX: 831-479-6636.

For questions about your medical records, please call 831-458-5520.

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

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