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Medical Records

Authorization to Discuss/Disclose Medical Information

Disclosure of Medical Information: Your medical information and communication of such is essential to your care. Kaweah Health Medical Group prefers to speak directly with each patient, but we understand that other individuals or family members may have knowledge of, and be assisting with, your care.

Click HERE to download authorization for release of medical information.

How to Submit

You may drop off form in person at the medical records department at Kaweah Health Medical Group, fax, or email form to

Medical Records Department
5400 W. Hillsdale Avenue, Visalia, CA 93291
Phone: 559-738-7500 ext. 5577
Fax: 559-636-9498