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Patient Information

For other information or to ask a question, call 714-922-4100.

Medical Records Release Forms

To request your medical records be sent to Planned Parenthood or mailed to you by Planned Parenthood please fill out a HIPAA release form.

Download medical records release form:
English | Spanish | Vietnamese

Medi-Cal Transportation Service

If you have Medi-Cal insurance, you can get free transportation to your Medi-Cal covered appointment. View form for more information.

*Please note that this is being offered by the health plans, so Planned Parenthood is unable to arrange the transportation or answer questions about the service.

Learn more.

HIPAA Privacy
Policy

Read our HIPAA Privacy Policy to learn about our privacy practices concerning health information about our patients here.

Planned Parenthood of Orange and San Bernardino Counties supports Nondiscrimination, Advancing Health Equity, and Reducing Health Care Disparities in healthcare access and services.

Download Nondiscrimination and Health Accessibility Notice
Download Patient Grievance Form

We welcome the federal decision to stop treating Medi-Cal as a public charge. Diseases, including deadly pandemics like COVID-19, ignore borders and legal distinctions between people, so it’s in everyone’s best interest that all individuals get the care they need.

View the SMS Short code Terms of Service and Privacy Policy here.

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