California Department of Mental Health

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Procedures for Access to Public Records pdficon

Public Records Inspection Request Form pdficon

This form is for your convenience. It is not required to complete this document to receive records.

NOTE: DO NOT USE THIS FORM FOR PATIENT INFORMATION OR MEDICAL RECORD REQUESTS - Patient information and medical records are not public records and are subject to HIPAA disclosure protections and requirements as well as California Welfare and Institutions Code §5328.


CONTACT

NOTE: DO NOT USE THIS CONTACT FOR PATIENT INFORMATION OR MEDICAL RECORD REQUESTS

Public Records Act Coordinator
1600 9th Street, Room 435
Sacramento, CA 95814

Voice: 916-654-2319
Fax: 916-651-9919

DMH.PublicRecordsAct@dmh.ca.gov


FREQUENTLY REQUESTED DOCUMENTS