Inspect or copy
Request an amendment or an addendum:

Please send your request to Health Information Management Services - 450 Broadway, Mail Code 5200, Redwood City, CA 94063 or fax it to 650-725-9821. Copies of the request forms and assistance are also available at the Hospital's HIMS Department. The HIMS Department will acknowledge your request when it is received and process your request within sixty (60) days of receipt. In certain situations the HIMS Department may require an additional thirty (30) day extension to process your request.

An accounting of hospital disclosures:

To request an accounting of disclosures, please print and complete the Request for Accounting of Disclosures Form. You may either mail the form to the HIMS Department at 450 Broadway, Mail Code 5200, Redwood City, CA 94063 or fax it to 650-725-9821. Copies of the Request Form and assistance are also available at the Hospital's Release of Information Office at 450 Broadway, Room C14, Redwood City, CA 94063.

Request restrictions:

Restrictions may be requested at any time. To make a restrictions request, please print and complete a Request for Restrictions Form. You may either mail the form to the SHC Privacy Office, 300 Pasteur Drive - MC 5780, Stanford, CA 94395-5202 or fax it to []. Copies of the Request Form and assistance are also available at the Hospital's Release of Information Office at 450 Broadway, Room C14, Redwood City, CA 94063. Alternatively, you may request restrictions during the registration process at the Hospital.

To terminate a restriction that the Hospital has accepted, send your request in writing to SHC Privacy Office, 300 Pasteur Drive - MC 5780, Stanford, CA 94395-5202 or fax it to []. Please include a copy of your original restrictions request or the date, patient name and medical record number that appeared on the accepted request.

Request confidential communications:

To make a confidential communications request, please print and complete a Request for Confidential Communications Form. You may either mail the form to the SHC Privacy Office, 300 Pasteur Drive - MC 5780, Stanford, CA 94395-5202 or fax it to []. Copies of the Request Form and assistance are also available at the Hospital's Release of Information Office at 450 Broadway, Room C14, Redwood City, CA 94063. Alternatively, you may request confidential communications during the registration process at the Hospital.

Receive a copy of the hospital's notice of privacy practices: