Release of Medical Records

Attention: This form must be signed in order for us to release copies of your medical records.
To efficiently process your request, please bring the completed form with signature to the front desk located at the entrance of the Bonita Community Health Center.
Click to download the BCHC Release of Information Form:
Services

Urgent Care

  • Open 7 days a week, no appointment required!
  • Special pricing for uninsured patients (See "Self Pay Prices" link on this page)
  • Acute medical issues treated as well as flu, respiratory issues, allergies, lacerations, injuries
  • Board Certified Physicians with experience in emergency and family medicine and pediatrics
  • Complete onsite imaging services (X-Ray, MRI, CT Scans, Ultrasounds, Mammograms) for a more thorough evaluation and faster diagnosis
  • Sports physicals, work physicals and school physicals
  • Most insurance accepted, including Medicare, Blue Cross Blue Shield, United Health Care, Aetna and Cigna
  • Co-pays more affordable than the Emergency Room with shorter wait times
  • Excellent patient satisfaction feedback

© 2017 Bonita Community Health Center.