Saddleback medical group information 2026

1. Click ‘Get Form’ to open the saddleback medical group information document in the editor.
2. Begin by filling in your personal details at the top of the form, including your name, date of birth, address, phone number, and email. This information is essential for identifying you as the patient.
3. In the section labeled 'Release Medical Records FROM,' specify the facility producing your records. Fill in the name, address, city, state, and zip code accurately.
4. Next, complete the 'Disclose Medical Records TO' section by providing details about where you want your records sent. Indicate whether it’s a facility or a patient and fill in their respective information.
5. Check all applicable boxes under 'Information to be disclosed' to indicate which medical records you wish to release. Be sure to include any specific dates of service if required.
6. Select a reason for requesting your medical records from the provided options. This helps clarify your intent for disclosure.
7. Finally, review all entered information for accuracy before signing at the bottom of the form. Ensure that you understand any charges associated with copying and transferring your records.

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