Health Information Management

Glenn Medical Center, 1133 W. Sycamore St.,
Willows, California

Phone: 530.934.1859

FAX: 530.934.1815

Hours: Monday – Friday
8:00 a.m. to 4:30 p.m.

Request a Copy of your Medical Documentation

Have your doctor’s office FAX a request with your name, date of birth and the information needed. Documents most frequently needed are:

It is our promise to get the records for your care to your Doctor quickly so they are available for your next appointment!

Assistance with your Advance Directive, Do Not Resuscitate Form, and California P.O.L.S.T. Form

An Advance Health Care Directive helps to make medical decisions on your behalf (and with your wishes) in the event you are unable to speak for yourself.

A Do Not Resuscitate Form helps emergency personnel carry out your wishes when you do not want C.P.R. administered; you do not want extra efforts in the event you need these medical interventions.

A P.O.L.S.T. Form (Physician Order for Life Sustaining Treatment) is the State of California physician order that helps you and your physician decide together what measures need to be taken in the event of an emergency based on your current medical condition.

All forms are available through the HIM Department with a “helpful tips” check-off list. We are pleased to be able to care for you and your health as well as assist you in your medical decisions by providing this information.

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