Medical Records Request

To request your medical records, fill out and submit the form:

To request a chart correction to your medical record (amend a designated record set), please fill out and submit the form:

Fax, mail or email your completed and signed form to:

Release of Information – HIM
800 Swift Blvd
Suite 180
Richland, WA 99352

Fax: 509-392-5682
Send an email