Fremont & Hayward Customer Services

Our job is to promote quality health care and services to all Kaiser Permanente members.

In order to provide you with prompt, quality, and accurate services, we provide forms that can assist you in a timely fashion.

Protect patient's privacy and confidentiality is our priority, and therefore, before we release any medical information, an authorization form needs to be signed by the patient or the pre-assigned power of attroney. Click here for the form Patient's authorization form.

Please complete this form, sign and date before visiting the Business Office.

If you are entitled to receive a refund, please complete the refund from. Click here for the Refund Request Form. After completing the form, you may fax it to the Business Office. If you need any adjustment to a bill you received, please have the account number, Kaiser medical number, and date of service ready before contacting the Business Office.

Fremont Medical Center
Customer Services
TEL: (510) 248-3968
Fax: (510) 248-2465

Hayward Medical Center
Customer Services
TEL: (510) 675-3560
Fax: (510) 675-3334

If you have questions regarding your health plan coverage, please contact:

Kaiser Permanente Health Plan Membership Services
Call Center
Tel: (800) 464-4000
Hours of Operations
7:00 a.m. to 7:00 p.m. Everyday

If you would like to request a refund from the pharmacy, please go to the pharmacy where you have obtained medicine.

However, if you would like to get verification of the sum of the copays from the pharmacy for a certain period of time, please complete the form and mail to the following address. Please note that the pharmacy does not accept fax copies. Click here for the pharmacy verification copay form.

Other Hayward/Fremont Departments & Services

Click here to link to other Hayward/Fremont Medical Center Departments & services.....

Click here to link to the Hayward & Fremont Web-site