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Medical Records
When you check-in for your first appointment at the Tang Center, you
will receive a "Gold Card" imprinted with your name and medical
record number. This Gold Card or medical record card will be needed
whenever you check in for an appointment in the Tang Center.
Please note: the Gold Card is not proof of eligibility to receive services
at the Tang Center, nor does it provide proof of enrollment in SHIP.
| Request |
What to Do |
 |
Hours, location
and
contact information |
Medical Records is open Monday - Friday, 8 am - 5 pm. The office
is located in Room 3220 on the third floor of the Tang Center.
Phone: (510) 642-1804
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| Gold card replacement |
If you lose your Gold Card, please obtain
a new one at the Information Center, located in the first floor
lobby of the Tang Center. There is no charge for a new card. |
Transfer medical records
to the Tang Center |
When you arrive at Cal, you may wish to have your
medical records transferred to the Tang Center from your previous
health care provider. You can print a release form for transfers
of records to UHS (pdf
or word
format) or pick up a copy of the form from Medical Records. Complete
the form and mail it to your previous health care provider. |
Transfer medical records
from Tang to new health
care provider |
After you leave Cal, you may request that your records be sent
to your new health care provider. You can print a release form
for transfer or records from UHS (pdf
or word
format) or pick up a copy of the form from Medical Records. The
form must be completed in its entirety. Mail the completed
form to:
UHS Medical Records
2222 Bancroft Way
Berkeley, CA 94720-4300
Or fax to: (510) 642-1801
Or drop off the form at the Medical Records department in Room
3220 on the third floor of the Tang Center.
There is no fee to have your medical records sent to another
health care provider. Please note that in order to maintain patient
confidentiality, the UHS Medical Records department does not fax
medical records.
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| Obtain medical records for
personal use |
You may request a personal copy of your medical records. You
may print a form for release of records from UHS (pdf
or word
format) or pick up a copy of the form from Medical Records. The
form must be completed in its entirety. You may mail the
completed form to:
UHS Medical Records
2222 Bancroft Way
Berkeley, CA 94720-4300
Or fax to: (510) 642-1801
Or drop off the form at the Medical Records department in Room
3220 on the third floor of the Tang Center.
Please note that for records of more than 2 pages, there is a
duplication fee of $10 for up to 40 pages, plus $10 for each additional
40-page increment. An additional fee applies for a professional
review or preparation of a record summary. Medical Records staff
will inform you of the total cost once the form is received. Payment
must be received (by mail or in person) prior to release of your
medical records. Depending on time of year, processing may take
7-10 business days. Please note that in order to maintain patient
confidentiality, the UHS Medical Records department does not fax
medical records.
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| Request release of medical
records for another reason |
To request release of medical records
for reasons other than transfer to a new provider or personal use,
please speak with a Medical Records staff member (see contact
information above). |
| Confidentiality |
Patient privacy is a priority at UHS.
All medical records are confidential and cannot be released without
the written permission of the patient, except as required by law.
For more information, see the UHS Notice
of Privacy Practices. |
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