Medical Records

For existing patients leaving El Camino Pediatrics
OR record requests for other subspecialists

Request For Transfer Of Records
From: El Camino Pediatrics
To: Another Facility

There is a $ 10 fee for copying records that will be released from El Camino Pediatrics and will be picked up. There is an additional $5 fee if records need to be mailed . Fee is NOT applicable for records being sent for speciality care at the request of our physicians.

If you are leaving our practice and want to request us to provide your new physician with a copy of your child's medical records:

1.Click to select medical record transfer form  web  pdf
2. Print Form
3. Fill out and drop it off at our office or mail it to us. 

*Important:

• Original signatures are required, so faxed copies will not suffice.

If you are seeing a subspecialist who is asking for copies of the records, your child's primary physician in our office may choose pertinent records to share with the subspecialist, so ask your primary, if you feel this is necessary.