Medical Records

Please use the following form to request a copy of your medical records online. We charge a small processing fee to process your medical record requests depending on how you want your records sent: $5 for emailed copies, $8 for printed copies to be picked up in our office, and $12 for printed copies to be mailed. Please note, we can only send copies of your medical records to the email address on file or the mailing address on file. The process fee is waived if your records needs to be faxed to another doctor's office, hospital, or any healthcare facility.

San Gabriel Office
207 S Santa Anita St #P15

San Gabriel, CA 91776

Tel: 626.898.4560

Los Angeles/Chinatown Office
709 N Hill St #18
Los Angeles, CA 90012

Tel: 213.328.0819

Innovators in Digestive Health Care

Copyright © 2020 by Pacifica Digestive Health

Follow Us: