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Click ‘Get Form’ to open the CDCR 7385 in the editor.
Begin by filling in your personal information in the 'YOUR INFORMATION' section. Include your first name, middle name, last name, street address, city/state/zip, date of birth, and CDCR/YA number.
Next, identify the person or organization providing the information. Fill in their name, address, city/state/zip, phone number, and fax number.
In the 'Description of Information to be Released' section, check all applicable boxes for medical records such as mental health or substance abuse. If necessary, specify any other information.
Indicate the time period for which this authorization is valid by entering start and end dates.
Describe the purpose for releasing this information by selecting from options like health care or legal use.
Finally, sign and date the form at the bottom. Ensure you understand your rights regarding this authorization before submitting.
Start using our platform today to easily fill out your CDCR 7385 form online for free!
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Web requests for psychotherapy notes require a separate cdcr 7385 and may not be combined with any other request for health care records. Access the cdcrRead more
CDCR 7385, Authorization for Release of Protected Health
NOTE: Health records released as part of this authorization may contain references related to dental, medical, mental health, substance use disorder, medicationRead more
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