Authorization To Release Healthcare Information - Patient Search

To start the Record Request process, enter the patient information below and then click the 'Search' button to search CAIR2 for the patient. If a matching patient is found, you will be asked to complete the full Form and also submit additional identifying information.
Required fields are marked by an *
Patient Information
First Name *
Middle Name
Last Name *
DOB *
Gender *
Parent/Guardian First Name:
For any questions regarding this patient search, contact the CAIR Help Desk CAIRHelpDesk@cdph.ca.gov
View CDPH’s privacy policy