At Shriners Hospitals for Children, the health and safety of our patients, families, volunteers and staff is our top priority. With the evolving situation regarding COVID-19, we are closely monitoring updates from local health departments and the Centers for Disease Control and Prevention (CDC), and are actively following their recommendations.

If your child has an upcoming appointment, please contact your local Shriners Hospitals for Children location.

Shriners Hospitals for Children — Northern California visitor information.

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Medical records and insurance

Medical records and insurance

Medical records

To request copies of your medical record, you may contact Health information services: 916-453-2164

To request copies of your own medical records, or to authorize the disclosure of your medical records to another individual or third party, you will need to complete a HIPAA compliant form and submit your request in writing to the Health Information Services (HIS) department. Note: Please be sure to complete all sections when filling out the form.

Patients, legal guardians and personal representatives with legal authority to make health care decisions on behalf of the individual may obtain medical record copies by one of two methods:

  1. Completing a Patient Request for Information form: (English) (Español), or
  2. Submitting a request to release the medical record through the Shriners Hospitals for Children Patient Portal. (Note: This process does not require completion of the form listed above.)
    • If you already have access to the Shriners Hospitals for Children Patient Portal, see instructions here.
    • If you do not yet have access to the Shriners Hospitals for Children Patient Portal, contact the Shriners Hospitals for Children registration staff or care manager at this location to request an invitation.

Third parties may obtain medical record copies by submitting an Authorization for Disclosure of Health Information form that is completed and signed by the patient and/or legal guardian: (English) (Español)

Fax the completed forms to 916-453-2355, or email to NCL-HealthInformation@shrinenet.org.

If you prefer, you may pick up a form in person by stopping at the health information services office during our regular business hours: 7:30 a.m.–5:30 p.m., Monday – Friday.

Requests for copies take 10 to 15 business days to process upon receipt of the authorization form. There can be a 25-cents per page charge depending upon the size of the request.

Insurance questions

At Shriners Hospitals for Children — Northern California, there are no barriers to care. Doctors determine the course of care and all care is provided regardless of the families' ability to pay. When families do have insurance, the hospital will accept payment from insurance providers. However, insurance coverage is not a criteria for care. Any child under age 18 with a medical condition that is within the scope of services provided is eligible for care.

For insurance related questions, please call 916-453-2142.

Contracted insurers include, but are not limited to:

  • Aetna Health Management (PPO)
  • Anthem Blue Cross (PPO, AIM, Healthy Families & MCMCP, Covered California)
  • Blue Shield of California (HMO, PPO, Covered California)
  • Cigna (HMO, PPO)
  • California Health and Wellness
  • Coventry/First Health (PPO)
  • Dignity Health
  • Employee Health Systems (EHS)/Synermed
  • Health Net of California (PPO)
  • Hills Physician Medical Group
  • Humana
  • MediCal
  • Molina Healthcare
  • Multiplan
  • Partnership
  • Rivercity Medical Group
  • TRIWEST (administered by UHC and formerly Tricare)
  • United Healthcare/UHC (PPO)