Skip to Content
Skip to Navigation

Medical Records

Contact us

General phone: (206) 685-1069
Fax: (206) 616-4683

For release of information assistance: (206) 616-3822

Hours: 8:00AM - 5:00PM – Monday-Friday

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

Processing times

NOTE: We are unable to process your release of information immediately. Your medical records request will be processed in a timely manner.

Requests involving patient care:

  • Type of request Expected timeframe
    Emergency care Immediate
    Urgent care 1-2 business days
    Moderate care 3-5 business days
    Patient requests to view own records 5-10 business days
    Subpoenas, court orders and depositions Within 14 business days
    All other requests Within 14 business days

We will make records available in a timely fashion not to exceed 15 working days. If we're not able to make records available at the time of request, we will inform you of the status of your medical records and produce your medical record within 21 days from the receipt of the request. If the information requested does not exist or cannot be found you will be notified within 15 working days. These timeframes are consistent with state law RCW 70.02.080 and 70.02.090.

Cost schedule for copying patient health information

Prices effective 8/1/13

  • Personal copies: $0.26 per page (excluding sales tax and postage) Washington state sales tax applies (currently 9.0%, but subject to change by the state). Postage varies according to the weight of the copies.
  • All other requests (i.e., legal, insurance): will be charged $1.09 per page for the first 30 pages, $0.82 per page for all other pages, plus a $24.00 clerical fee for searching and handling (excluding sales tax and postage).
  • There is no charge for records being sent to another health care facility or physician.
  • Immunization Records: For questions regarding immunizations, please call (206) 685-1018. The first copy will be provided at no charge.