Medical record request
To get a copy of your medical records from Fred Hutchinson Cancer Center for yourself or someone else, complete a Release of Information Authorization form. You can download the form below or get one from our office or any clinic front reception desk.
Following the merger of long-time partners, Fred Hutchinson Cancer Research Center and Seattle Cancer Care Alliance, the organization was renamed to Fred Hutchinson Cancer Center. We are an independent, nonprofit organization that also serves as UW Medicine's cancer program.
How to request your record
There is no charge for records sent to you or your doctor. There may be a charge for records sent to insurance companies and other third parties.
In accordance with Washington state law, medical records will be responded to in no more than 15 working days from the receipt of the request, with records needed for emergency care processed in a more stat manner.
Fred Hutch South Lake Union
Fred Hutchinson Cancer Center
Health Information Management
PO Box 19023, G7085
Seattle, WA 98109
Issaquah clinic
Fred Hutchinson Cancer Center - Issaquah
Medical Records
1740 NW Maple St., Suite 211
Issaquah, WA 98027
Peninsula clinic
Fred Hutchinson Cancer Center - Peninsula
Medical Records
19917 Seventh Ave, Suite 100
Poulsbo, WA 98370
Fred Hutch at U W Medical Center - Northwest
Fred Hutch at UW Medical Center - Northwest
Medical Records
1560 115th St. Suite G16
Seattle, WA 98133
Fred Hutch at Evergreen Health
Fred Hutch at EvergreenHealth
Medical Records
12040 NE 128th St.
MS 98, Suite 1600
Kirkland, WA 98034
Fred Hutchinson Cancer Center – Proton Therapy
Fred Hutchinson Cancer Center – Proton Therapy
ATN: Medical Records
1570 N. 115th St.
Seattle, WA 98133
Information we need
To process your request, we need the below information filled out on the Release of Information Authorization form.
- The full name and date of birth of the patient
- The phone number of the person making the request
- The full name and address of the person or organization to receive the records
- The specific health care information you would like disclosed
- A brief description of the purpose for the disclosure
- An expiration date after which time you no longer want the request to be valid
Let us know the format you prefer for your medical records:
- Paper
- Fax
- Encrypted email (if file is not too large)
- CD
If you have prearranged to pick up your records in person, please be prepared to show a valid photo ID. If someone else will be picking up your records for you, we will need their name in advance and they should be prepared to show a valid photo ID.