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Medical Records

Form to release medical records

Under federal law, you must submit a written request in order for us to release any medical information.

Use this form to disclose, release, or obtain protected health information

Form submission

Mail

UW Medicine Medical Records Department

(Health Information Management)

325 Ninth Avenue

Box 359738

Seattle, WA 98104

Fax

(206) 616-4683

Contact us

For release of information assistance call (206) 744-9000

Additional resources

For more information about accessing your medical records, visit UW Medicine Medical Records.