To request a copy of your medical/dental records you will need to obtain, complete and submit an Authorization for Release of Health Information form.
To give permission to share information with Family, Friends, and Caregivers you will need to obtain, complete and submit a Permission to Share Information with Family, Friends, and Caregivers form.
© 2021 Marin Community Clinic. All Rights Reserved.Marin Community Clinics 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). It is an FTCA Deemed facility, covered by professional liability insurance through our enrollment in Federal Tort Claims Act program.