Medical Records Request Forms

At Providence St. Joseph Health, your ability to access the highest quality care is of the utmost impotance to us. That is why we have made it easy for our patients to request their medical records, whenever they may need them. The forms below are for each of our Sonoma County hospitals and can be found in both English and Spanish.

You can request copies of your medical records in either of the following ways:

• Submit a request online for Santa Rosa Memorial or Petaluma Valley Hospital.
• Complete the health information release form below for either SRMH or PVH and mail it to the address on the form.
  • English
  • Español

If you have any problems or questions, please contact the following:

Santa Rosa Memorial Hospital - Release of Information

• Phone: (707) 522-4396
• Fax: (707) 476-2232
• Email: ROI.SRM.HIM@stjoe.org

Petaluma Valley Hospital - Release of Information

• Phone: (707) 778-2525
• Fax: (707) 476-2231
• Email: ROI.PVH.HIM@stjoe.org