Upload Request
All inquiries regarding records requests must be submitted to our dedicated Request Support Team —status@ranchocucamongasurgerycenter.com
- Reference Number Enter your reference number. With this number you will be able to track your request for records at any time, during the retrieval process.
- Drag & Drop ONE .PDF File Drag your request file and drop it into the box or select browse to choose your file. Only ONE .PDF file per request is required.
- Upload & Submit ONE .PDF File Once the request is received, it will be processed based on your ATTACHMENT 3. An initial processing fee is required for all types of records requested.
All records requests are subject to a 20 Twenty Business Days Turnaround, however, some can take longer than expected, depending on the chart situation.
Subpoenas for Personal Appearance must be served in person to our Practice
Rancho Cucamonga Surgery Center
8599 Haven Ave Ste 101
Rancho Cucamonga CA 91730
Our Clinic Locations
Request Process Center
Correspondance Only
Drop Service is NOT Authorized
Request Process Center
1142 S. Diamond Bar Blvd PMB 310
Diamond Bar, CA 91765
It is our policy that any out of state subpoena must be accompanied with a HIPAA Authorization signed by the patient