Medical Records Release
MORONGO BASIN COMMUNITY HEALTH CENTER undertakes a legal and ethical responsibility to foster and preserve the privacy and confidentiality of customer information. Written authorization from the patient is required before any information is released, disclosed or made available for review.
To forward a copy of medical records to another facility,or toforward a medical record to Morongo Basin Community Health Center from another medical provider, please click HERE to download and print the authorization form. The signed form may be presented to clinic personnel at the front desk with proof of identity, or may be faxed, mailed, or emailed with proof of identity (a copy of a Government issued identification such as a driver’s license or passport).
The health information technician will process all requests timely and in the order in which they were received. Please allow 7-10 days processing time from receipt of the written request. Personal health information is not released by telephone.