General Forms & Health Information
General Forms & Health Information
In order to prepare for your upcoming visit, you may want to fill out some forms before you arrive.
The Health Insurance Portability and Accountability Act (HIPAA) is a set of federal rules designed to protect the privacy of individual health information.Authorization to Disclose Health Information
To authorize Mills-Peninsula to disclose your health information, please fill out the following form and return it to us.
Request Your Health Information
To request access to your health information, please fill out the following form and return it to us.
For questions related to copies of medical records, call the Release of Information Specialists in the Health Information Management Department at (650) 696-5359.Mills-Peninsula Medical Center
1501 Trousdale Drive
Burlingame, CA
Mills Health Center
100 S. San Mateo
San Mateo, CA
