CALIFORNIA SURROGACY CENTER11425 El Camino Real, San Diego, CA 92130Phone: 858-509-3954Fax: 858-509-3958
Please release my records listed below for the date(s) of treatment listed.
OBGYN records include the prenatal flowsheet and postpartum follow-up for all of your pregnancies. The dates listed should begin with the date of your first OBGYN visit after becoming pregnant and end with your last visit to the OBGYN after giving birth (typically 6 weeks after giving birth).
**If you do not have access to these records or you do not wish to include them, you may leave this blank.**
Please fax my records to Anthony Swanson at 858-509-3958.
I hereby authorize the OBGYN listed in the field above to release my records to the below center:
California Surrogacy Center
SD office: 11425 El Camino Real, San Diego, CA 92130
LA office: 3 Pointe Drive, Suite 203, Brea, CA 92821
Phone: 858-509-3954 (SD office)；714 599 8258 (LA office)
Fax: 858-509-3958 (SD office)；714 599 8268 (LA office)