Public Health: Request for Public Records - Kern County Public Health

Describe the records you are requesting in as much detail (business name, address, type of record desired, etc.) as possible:*
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
If requesting medical records, please include date of birth:
MM slash DD slash YYYY
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Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 12 MB.