Medical Records

Patient Details
Name of the Patient *
Patient Email Address *
Date of Birth *
Description *
A copy of affidavit(PDF) *
Maximum file size: 15 MB
Requestor's Details
Name *
Phone number *
Contact person
Preferred delivery method
Fax Number *
Email Address *
Street Address *
Apt number *
City *
State *
ZIP code *
Pick up date *
Total amount: US$15
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Ravenswood Family Health Network is a federally qualified health center headquartered in the low-income East Palo Alto area of San Mateo County. Ravenswood sites are Federal Tort Claims Act (FTCA) deemed facilities. Ravenswood is a 501 (c)3 non-profit community-based Federally Qualified Health Center (FQHC).
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