Medical Information Release

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Effective as of January 1, 2006
Please send all completed forms to:
Mailing Address:
UC Davis Health System
Health Information Management
Medical/Legal Release of Information Unit
2315 Stockton Blvd.
Building #12
Sacramento, CA 95817
Or via
Electronic Communications:
him@ucdmc.ucdavis.edu
Or via
Fax:
(916) 734-2126
For additional information please call:
(916) 734-5205

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