Instructions
1. Download and complete the Region, Personal Information, and Delivery
Instructions sections of the Medical Records Request and Release form.
NOTE: Authorized representatives of patients must provide supporting
documentation to that effect, i.e. Patient Authorization, copies of Power of
Attorney, Certificate of Conservatorship, or another official legal document.
2. Submit:
• in person by presenting the request form, copy of a valid photo ID and, if
applicable, supporting documentation to any WestPac Labs location.
• via email to the email address for your region as listed on the form.
Remember to include a copy of a valid photo identification and, if
applicable, supporting documentation.
• via fax, Attn: Client Service Department to the fax number for your region
as listed on the form. Remember to include a copy of a valid photo
identification and, if applicable, supporting documentation.
Please note that while most requests are processed immediately upon receipt,
California State law allows the laboratory 15 days in which to fulfill each request. In
some cases, requests may require additional processing time in addition to the 15 days.
If this occurs, you will be notified.
Advice to Patients Receiving Clinical Laboratory Results
Appropriate medical expertise is required for the correct interpretation of clinical laboratory results, and is not
available from laboratory personnel. Caution is urged in regard to individual interpretation of these clinical
laboratory results.
Please consult your physician.
Under no circumstances should any action be taken based on these values without first discussing them
with your physician/practitioner.
