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    • Dr. Weiss has Retired
    • Obtaining Medical Records
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  • Dr. Weiss has Retired
  • Obtaining Medical Records
  • Ongoing Physical Therapy

Jerome M. Weiss MD, Inc

Jerome M. Weiss MD, IncJerome M. Weiss MD, IncJerome M. Weiss MD, Inc

Obtaining Your Medical Records

Medical Records

You can download a copy of the Medical Records Release form on the link below. 


You must have the form notarized in order for DataSafe/VRC (Vital Records Control) to release copies of your medical records and the original form must be mailed to VRC (Vital Records Control).


Please contact VRC client services and they will provide the mailing address for the records release and assist with your request for records..

  

DataSafe/Vital Records Control

Client Services 650-875-3700

service-ds@vrcofca.com) 

Reference Dr. Weiss account # 13007908 


There will be a charge for provision of the record copies plus the certified mail cost. If you prefer to pick up a copy of your the medical records at one of the DataSafe/VRC facilities ,there will be no charge for mailing.  You (the patient) must provide a photo ID. With this option, you (the patient) are not required to have the medical records release form notarized since one of our Client Services Representatives will check your photo ID. 

   

Medical Records Release Form

 Datasafe/Vital Records Control  records release for JMW Updated 4/13/21 (pdf)           

Datasafe/Vital Records Control records release for JMW Updated 4/13/21 (pdf)

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  • Obtaining Medical Records
  • Ongoing Physical Therapy