Clinical Trials Research | Lincoln & Sacramento, CA

Refer a patient   |    Questions? (916) 487-8230


Forms

Medical Record Release Request Forms

We honor your time by providing our new patient paperwork online. You can click the buttons below and complete this information at your convenience.

Medical Record Release Request Forms

If you have any questions, please give us a call at any time at (916) 434-8230 or e-mail us at info@ctrsites.com.

Step 1) ALL PATIENTS complete this form:

Medical Release Form

Step 2) Complete the forms based the office location of your visit (if none of the providers below are applicable to you, please only complete step 1):


Lincoln:


Kaiser Medical Record Release Form Sutter Medical Record Release Form VA Medical Record Release Form UC Davis Medical Record Release Form



Sacramento:

Kaiser Medical Record Release Form Sutter Medical Record Release Form VA Medical Record Release Form UC Davis Medical Record Release Form

Locations

Lincoln, California

160 Gateway Dr. Suite 100

Lincoln, CA 95648

(916) 434-8230


Sacramento, California

3750 Auburn Blvd. Suite A

Sacramento, CA 95821

(916) 487-8230


Office Hours

Mon - Fri
-
Sat - Sun
Closed
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