Valley State Prison Inmate Family Council

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HEALTH CARE FORM
(7385)

Please make sure you have the NEW health information form. This form is approved to take in to visiting for your loved ones signature.  You will have to send the signed copy to inmate for placement in their medical files.  The previous form would need updating,  this form you can check the box to have it in place until released from custody.


CDCR FORM 7385 (authorization of protected health information)


*It's a good idea to have your loved one sign three copies of form 7385, one for you, one for him and one for medical records.  Forms get misplaced, this way you will all have an original copy signed.  You can bring the forms to visiting and have loved one sign.