How do I get a copy of my medical records?

You need to fill out the Request for Access to Health Information form and mail or fax it to your Planned Parenthood Health Center or you may call 1-800-967-PLAN.

How do I get my Planned Parenthood Golden Gate medical records sent to my new health care provider?

You need to fill out the Authorization for Release of Medical Records form and mail or fax it to your Planned Parenthood Health Center or you may call 1-800-967-PLAN.

Instructions to download the Medical Records Form:

Right click on the links above and:

Internet Explorer
- Choose "Save Target As"
- Select a directory to save your form

Fire Fox
- Choose "Save Link As"
- Select a directory to save your form

Note: Opening these files requires Adobe Acrobat Reader - get it.

The information you provide on these forms is private and confidential. Answering the listed questions will help our medical staff provide you with the most appropriate and comprehensive health care. Thank you for your cooperation.

Health Center Fax Numbers