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Release of Health Information in Office:
Heritage Victor Valley Medical Group offers an in-house option for requesting medical records for our faculty providers only.
If you are requesting records from one of our contracted offices, please contact that office directly or use the ShareCare option below.
Patients may also visit our office to complete a medical records request form with the assistance of our Medical Records team.
For any questions or additional information, you may also contact the team via email at:
hvvmgmedicalrecords@hvvmg.com.
Heritage Victor Valley Medical Group has partnered with Sharecare Health Data Services to fulfill your request for records.
We are committed to protecting your medical information. For information about your rights and the obligations you have regarding the use and disclosure of your medical information, please see our Compliance and Privacy Practices.
To request records, please complete the online forms found here. You will be required to provide a valid email address and a Government issued ID. Please note you must scroll down to find the form fields to complete.
Complete Online Request Forms
Customer Service Line800-560-3800 orcustomerserviceshds@sharecare.comAudit Customer Service Line888-710-7767
Live Chat Supporthttps://hds.sharecare.com/
How do I pay my invoice online?https://payonline.hds.sharecare.com/
How do I check status of my records request?https://recordstatus.sharecare.com/
If you are unable to complete the electronic form above, download and complete the paper form below [REVISIT - THERE IS NO FORM ON LIVE]. The authorization form must be legible and complete. Authorizations that are illegible or incomplete will be returned. For requests with sensitive information such as AIDS/HIV, mental health, and/or chemical dependency, use the Authorization for Use or Disclosure of Sensitive Protected Health Information form. The authorization is only valid for the specified date requested and expires one year from the date signed. Please note the processing of records is faster using the online form above.
Records are usually available within 10 business days from the time the request is received. If you are picking up your medical records in person, please be sure to bring a government-issued ID. To arrange for another individual to pick up the documents for you, please indicate on the authorization form.
Only the patient, parent/legal guardian, or the patient's legal health care representative can sign the form to release medical records. If you are requesting records on behalf of the patient or as the patient’s representative, please provide a copy of an Advance Directive/Durable Power of Attorney for healthcare/Conservatorship.
Parents or legal guardians requesting access to the medical record of their children over the age of 12 will require a signed authorization from the minor. To learn more about California’s regulations, visit the California Family Code Sections 6920-6920 and the California Health and Safety Code Sections.
If you are a provider, law office or you are requesting the medical records of someone other than yourself and are not the legal guardian, please see below.
Unless otherwise specified on the release of records form, please note that your medical records will not contain any billing information.
To request a 3rd party medical record, please click here.
Fees may vary. Please contact Sharecare Customer Service at 800-560-3800, press 2, for questions related to fees.
If you have general questions, billing inquiries, or would like more information regarding the process of receiving your medical records, please see contact information below:
Customer Service: 800-560-3800, press 2
Pay by Mail:Sharecare Health Data Services8344 Clairemont Mesa BlvdSan Diego, CA 92111
The Health Insurance Portability and Accountability Act, also known as HIPAA, requires healthcare facilities to obtain an original, complete, and properly executed "Authorization for Use or Disclosure of Protected Health Information" form in order to provide a copy of a patient's medical record to a patient or anyone he or she designates. Only the patient, parent/legal guardian, or the patient's legal health care representative can sign the form to release medical records.
The authorization form must be legible and complete. Authorizations that are illegible or incomplete will be returned. Requests for information regarding any of the following items must also be specifically initialed on the form:
Click here for HIPAA Elements [PDF]
