For Healthcare Providers
​Patient & Client Referrals
WellSpace Health believes that everyone deserves to be seen, no matter who you are, where you come from, where you work or what place you call home. At WellSpace Health, we see you.
Our focus has always been to offer a full range of high-quality medical, dental, behavioral health, and supportive services for people and neighborhoods who are historically under-resources.
WellSpace Health proudly collaborates with a wide range of healthcare partners so that together we can provide a continuum of care for patients and clients. We welcome referrals to our services and are ready to assist new patients with the eligibility and enrollment process, particularly patients who are covered by Medi-Cal and those who remain uninsured.
To refer a patient please call our team at (916) 737-5555Health Records Request
Requests for health records may be submitted by patients, clients, and healthcare professionals. A valid authorization, signed by the patient or patient's representative (such as their power-of-attorney), is required to be completed and on file before releasing any health records. In addition, WellSpace Health must verify the individual identity of the person requesting a health record.
To request a medical record, an Authorization to Release Medical Records form, which is available online and in centers, must be completed and signed.
For Medical Records, click here to complete the Authorization to Release consent form.To request alcohol and drug treatment records, an Authorization and Consent to Release Alcohol and Drug Treatment Record forms, which are available online and in centers, must be completed and signed. Submit the completed authorization form(s) via fax to 916-313-8452 or using the online patient portal. Please contact WellSpace Health by calling 916-737-5555 with questions or for additional support.
For Alcohol & Drug Treatment Records, click here to complete the Authorization & Consent form.Most request are processed in 5-10 business days; some requests may require additional processing time. WellSpace Health staff may contact you by phone or email to verify the information received before the request is processed.