Medical Records Request
To receive a copy of your health information, you may complete the Patient Request for Access form, write a letter, or submit a request via your MyChart account. To release your records to a 3rd party, please use the Authorization for Disclosure form.
Formularios para autorización para liberar información de salud:
- Autorización para usar o divulgar información médica protegida
-
Solicitud del paciente para acceder al conjunto de registros designado
If you choose to write a letter, it must include the following required elements:
- Signed by the individual (patient)
- Clearly identify the patient, preferably name and date of birth
- Clearly identify the person designated to receive the records
- Identify what records are to be included
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 – HIM800 Swift Blvd
Suite 180
Richland, WA 99352
Fax: 509-392-5682
Send an email
No walk-ins, the office is closed to the public. Please call 509-942-2017 Mon - Fri 8 a.m. - 4:30 p.m. for assistance.