Please submit completed counseling forms by fax to (323) 442-6029 or by e-mail to firstname.lastname@example.org.
Health Information Management (Medical Records)
Please submit completed medical records forms by fax to (323) 442-6029 or by e-mail to email@example.com . Please call (323) 442-5631 during clinic hours to check whether we received it. Due to the volume we receive, the estimated timeline that requests are completed is usually between 7-15 working days.
Medical Records Request Form