- Reference Number. Enter a reference number. With this number you will be able to track your record request at any time, during the retrieval process.
- Drag & Drop .PDF File. Drag your request file and drop it into the box or select browse to choose your file. Only ONE .PDF file per request will be processed.
- Upload & Submit. All requests are subject to twenty business days turnaround. Please do not call during this period of time. We'll keep you posted on any further updates by fax and email.
Once your request is received, it will be processed based on your ATTACHMENT 3. An initial processing fee invoice will be submitted for all on all types of records requested.
Subpoenas for Personal Appearance must be personally served directly to the medical doctor, or to the most knowledgeable person who you are requesting to appear or testify at trial or hearing. Witness fees per the California Government Code §68092.5, must also be included and payable to the medical provider's name, at the time of service.
Gutierrez Chiropractic, Inc
8445 S. Rosemead Blvd
Pico Rivera CA 90660Our Clinic Locations
DO NOT serve our practice, we will not process your request for records.
Update your records, and serve your request for records from My ROI Portal. If you are unable to upload, mail your request for records to our Request Processing Center.
Request Processing Center Mail Only
Request Processing Center
1142 S. Diamond Bar Blvd 310
Diamond Bar, CA 91765
IT IS OUR POLICY THAT ANY OUT OF STATE SUBPOENA MUST BE ACCOMPANIED WITH A HIPAA AUTHORIZATION SIGNED BY OUR PATIENT.