Immunization Records

To obtain a copy of your immunization records, please complete and sign the form on this link.

If you have an active UCSF mailbox, we can email your immunization record to you.  Otherwise, please include a fax number or mailing address, along with a legible phone number in the event we need to call you.

If you would like to obtain a record of your Workers Comp visits, please visit UCSF Medical Records at: 

https://www.ucsfhealth.org/billing-and-insurance/medical-records