To Request An Individual Patient’s Records for a Third Party:
Patients and Third Parties, please complete the Authorization for Release of Information form (link below) to request a copy of records.
Completed Michael’s House forms may be returned in person, fax, by mail or email to:
Miasha Patterson – HIM Specialist/Privacy Officer
[email protected]
Michael’s House
ADMISSIONS: (760) 450-9001
Medical Records Office:
(760) 320-3439
(760) 459-6086
Medical Records Fax:
(760) 325-0188