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Santa Clarita Valley (661) 705-2040
Dental (818) 270-9555
Medical Record Request
Access to Patient Information and Third Party Request for Release of Information by NEVHC
As our patient, your health information and privacy are valued by NEVHC. We will not release or otherwise divulge information about you or your health without your permission unless we are permitted or required to release information pursuant to a legal action or a government mandate
Frequently Asked questions
Please review the NOTICE OF PRIVACY PRACTICES for all the ways NEVHC uses and limits your health information. This document will also provide guidance on times when we are mandated to provide information about you to third parties. It also explains how you may opt out of some forms of information sharing. For a summary of the Notice of Privacy Practices click here.
Yes, there are costs. For paper records, NEVHC charges a $15 administrative fee plus a copying fee of 25 cents per page up to 200 pages, after which the fee is 12 cents per page. The maximum fee is $400. If you want just a few pages of your record, NEVHC provides patients with up to five pages of copies at no charge. If your health information is released on a CD, the maximum fee is $6.50 for EHI. Fees for mailing may also be applied. If you have access to the NEVHC portal, you may access your record at no cost, and you may view or download those parts of your record. You can also request medical records to be sent to you via your patient portal.
As per CA law, NEVHC will release the relevant portion of your record for your appeals case at NO CHARGE to you. Fees may apply if your request is being handled by an attorney’s office who is requesting records on your behalf. You can also access most parts of your record on the patient portal
If you are being referred by NEVHC to a specialist, we will automatically send relevant information about your care or treatment to that provider so long as you have verbally consented to the referral. If you are requesting your health information to be released to other providers or third parties, you must authorize the release of this information in writing by completing an AUTHORIZATION TO RELEASE INFORMATION form. You may return the form to the Business Office or Medical Records department of your NEVHC health center. You may also FAX the form to our Medical Record Coordinator’s office at (818) 270-9271.
If you have any questions or concerns about information in your medical or dental record at NEVHC, you may call your health center to make an appointment to speak or meet with your provider. As another option, you may contact the NEVHC Privacy Officer to discuss available options at (818) 898-1388 ext. 41645.
For questions about the release of medical information, contact the Medical Records department at your health center location. For general information, you can call the Medical Records Program Coordinator at (818) 898-1388 ext. 52202 or email: medicalrecords@nevhc.org
NEVHC has a HIPAA Privacy Officer whose job it is to thoroughly research all allegations related to breaches of patient confidentiality. You may call the Privacy Officer at (818) 898-1388 ext. 41645. The Privacy Officer is also responsible for reporting those breaches to government entities on your behalf as required by law.
Third party Releases:
NEVHC contracts with an offsite vendor, Iron Mountain, in Denver, CO, to manage the release of all non-patient requests.
General Information:
To request records, please use one of the following methods:
• MAIL request to: Northeast Valley Health Corporation, 1600 San Fernando Rd., San Fernando, CA 91340
• FAX Requests to: (818) 270-9271
• PRESENT a subpoena or court order to: 1600 San Fernando Rd, Bldg A, San Fernando, CA 91340—ask for the Medical Records Program Coordinator.
•EMAIL questions: medicalrecords@nevhc.org
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Mission Statement
Corporate
1172 N. Maclay Avenue
San Fernando, CA 91340
(818) 898-1388
About US
Northeast Valley Health Corporation was incorporated in 1971 by a group of San Fernando Valley civic leaders who envisioned establishing a healthcare system that catered to the medical needs of the local community. They opened San Fernando Health Center in 1973 and celebrated its dedication with the late U.S. Senator Ted. Kennedy. Today, NEVHC has grown to 14 health centers in the San Fernando and Santa Clarita valleys and continue to serve the uninsured and the medically underserved patients with limited financial resources. Nearly 70,000 patients receive medical, dental and behavioral health care at our health centers every year. NEVHC, one of the nation’s largest community health centers, is a nonprofit Joint Commission accredited Federally Qualified Health Center (FQHC).
NEVHC is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n) with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.A Joint Commission Accredited Organization
Health Center Quality Leader
Health Centers
Canoga Park Health Center
L.A. Mission College Student Health Center
Maclay Health Center for Children
Newhall Health Center
Pacoima Health Center
Pacoima Women’s Health Center
San Fernando Health Center
Santa Clarita Health Center
Sun Valley Health Center
Teen Health Center at San Fernando High School
Transitions to Wellness & Homeless Mobile Unit
Valencia Health Center
Van Nuys Adult Health Center
Van Nuys Pediatric Health & WIC Center[:es]Adult Health
San Fernando Valley 818-270-9777
Santa Clarita Valley 661-705-2040
Dental Health 818-270-9555
Children’s Health
818-361–7541 or 800-313-4942
Women’s Health
818-361–7541 or 800-313-4942
School-Based Health Centers
Charles Maclay Middle School 818-897-2193
San Fernando High School 818-365-7517
Los Angeles Mission College 818-362-6182
Homeless
HIV Division
818-988-6335
STI Testing
818-988-6335
Corporate Office Hours
Monday: 8:30 am - 5:00 pm
Tuesday: 8:30 am - 5:00 pm
Wednesday: 8:30 am - 5:00 pm
Thursday: 8:30 am - 5:00 pm
Friday: 8:30 am - 5:00 pm
Saturday: Closed
Sunday: Closed