|
Medical
Records -
(951)
486-5040
Location: Lower
Level
Hours: 9:00
a.m. - 4:00 p.m., Monday through
Friday.
Riverside
County
Regional
Medical
Center
recognizes
that patients
expect
their
personal
information
to be
protected
and used
responsibly.
The information
gathered
in the
medical
record
is utilized
for planning
the care
of patients,
monitoring
outcomes
of care,
and coordinating
and integrating
services
to the
patient.
The Medical
Records
Department
maintains
medical
patient
data in
a secure
manner,
allowing
release
only to
recognized
entities
with legal
right
to review
the contents.
Under
Public
Law Accordance
104-191,
if you
are calling
on behalf
of a patient,
please
know that
hospital
staff
are only
allowed
to discuss
patient
information
with you
upon receipt
of an
authorization
from the
patient.
All forms
may be
picked
up and
dropped
off at
the Medical
Records
Public
Window,
located
on the
Lower
Level
(LL),
Building
E, Monday
through
Friday,
from 9:00
am to
4:00 pm,
or mailed
to RCRMC
Medical
Records
Department,
26520
Cactus
Avenue,
Moreno
Valley
CA 92555.
Forms
may also
be downloaded
from this
website.
To view
your medical
records
you must
complete
the Authorization
for Patient
to Access
Their
Medical
Record
and submit
the form,
along
with a
$10 access
fee, to
the Medical
Records
Department.
Once the
records
are ready
for viewing,
you will
be contacted
to schedule
an appointment.
Appointments
for viewing
medical
records
are available
on Mondays,
Wednesdays,
and Fridays.
You may
obtain
copies
of your
records
at additional
cost.
Records
requests
for patients
seen in
the acute
mental
health
setting
must be
reviewed
and approved
by the
physician
who provided
care to
them,
as required
by law.
To obtain
a copy
of a birth
certificate,
please
contact
RCRMC’s
Labor & Delivery
Department
at (951)
486-5000.
For additional
information,
please
contact
the Medical
Records
Department
at (951)
486-5040,
between
the hours
of 8:00
am and
4:00 pm,
or view
the Frequently
Asked
Questions.
Medical
Records
Forms |
 PDF
Documents
Additionally,
Medical
Records
Correspondence
completes the
following
forms
based
on information
documented
in the
patient’s
medical
record:
STATE
DISABILITY
- 1st
Claims
- Continuation
forms
- EDD
questionnaires
DEPARTMENT
OF SOCIAL
SERVICES
- CA
61
- Food
Stamp
Forms
- General
Relief
- WIC
VPA,
Inc.
- Voluntary
Plan
Disability
Forms
- Voluntary
Plan
Continuation
Forms
RIVERSIDE
COUTNY
DA VICTIM
WITNESS
- Medical
Treatment
Verification
Forms
FAMILY
AND
MEDICAL
LEAVE
(FMLA)
- FMLA
for
County
Employees
- FMLA
for
Private
Entities
PRIVATE
INSURANCE
CLAIM
FORMS |
