Signup / Login
(to download your records)

Authorization Forms in PDF:

1. Authorization
   This form covers medical (non-Kaiser), employment, scholastic and insurance records
2. Kaiser Authorization
   This is a Kaiser specific medical records request form, HIPPA compliant
3. Social Security
   This form is specific to Earnings and Benefits Information
4. Social Security
   This form specifies general and medical Information
5. Military Records
   This form is designated to request necessary information from branches of military to locate necessary medical records
6. Veteran’s Administration
   This form is requesting medical records or health information from the Department of Veterans Affairs

Download the latest Adobe PDF Reader