Forms and Publications

If you need any of these forms or publications in an alternative language or format, please contact us

  1. Accounting of Disclosure Request Form
  2. Amendment Request Form
  3. Inspect Copy Request Form
  4. Notice of Privacy Practices English and Spanish
  5. Restricting Communications Request
  6. Restricting Uses Disclosure Request

Contact Us

  1. Medical Records

    [email protected]

    Physical Address
    2751 Napa Valley Corporate Drive
    Napa, CA 94559

    Phone 707-253-6163
    Fax 707-299-4394

    Directory

  2. Compliance and Privacy Officer

    [email protected]

  3. Latoya Akil

    Deputy Director of HHSA - Quality Management & Napa County Compliance and Privacy Officer
    [email protected]
    Phone: 707-253-4715
    Additional Phone: Compliance Hotline: 877-237-7319