Medical Records

Requesting your Medical Records

Mammoth Hospital keeps records of the services we provide for you. We do not disclose your record to others unless you give us permission or the law authorizes us to do so.

To request your Medical Records, please print and complete the Authorization to Disclose Health Information form located in the English Forms Tab below. To contact the Health Information Management Services (HIMS) Department, phone 760-924-4041 or fax 760-924-4029. Patients may email at HIMS.Email@mammothhospital.com with questions. Forms and Medical Records may also be picked up at our Medical Records Office. Our normal business hours are Monday-Friday, 8:00 a.m. to 4:30 p.m.

English Forms

Authorization to Disclose Health Information

Request for Limitations & Restrictions of Protected Health Information Form

Request for Correction/Amendment of Health Information Form

Statement of Disagreement to Include Amendment Request and Denial with Future Disclosures

Request for Restriction on the Manner/Method of Confidential Communications Form

Request for Accounting of Disclosure Form

Patient Rights

Notice of Privacy Practices

Spanish Forms

Autorización para proporcionar información médica

Solicitud De Limitaciones Y Restricciones De La Información Protegida Concerniente A La Salud