Medical record request

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.

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.