Renton, Seattle & Tacoma

Medical Records Request

To Obtain A Copy Of Your Medical Records

Please complete and sign these request forms, following the instructions below:

1. Records can be faxed, mailed, or picked up at the clinic. In the “To:” section of the Medical Release form, tell us to whom and how/where the records are to be released. Examples of this section:

      • To: Dr. Smith at Fax #: 555-555-5555
      • To: Dr. Washington at 1111 W 5th St. Somewhere WA 55555
      • To: Myself-Pick up at Renton Clinic

2. Give a current phone number in case there is a question about the request.

3. Copy of ID needs to be included with the record release forms.

4. The release & ID can be dropped off at the clinic, faxed to 509-575-0477, mailed to 106 East E Street Yakima, WA 98901 or sent through the form form below:
 

Your Name (required)

Your Phone (required)

Your Email (required)

Mailing Address in USA, Canada or Mexico:

City, State, Postal Code:

Your Message

Attach signed request form & copy of ID here:

Type this validation code into the box below.

captcha

Testimonials
Thank you for being a bright spot and safe place during our difficult decision.

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Cedar River Clinics
March 7, 2015 at 12:27 am

Celebrate International Women's Day on Sunday with She's Beautiful When She's Angry at the Northwest Film Forum. This film explores the second wave women's liberation movement from 1966-1971 in a way that "captures the spirit of the time — thrilling, scandalous, and often hilarious."

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SHE'S BEAUTIFUL WHEN SHE'S ANGRY back in Seattle for Intl Women's Day *ONE DAY ONLY* 3/8 3PM!

SHE'S BEAUTIFUL WHEN SHE'S ANGRY back in Seattle for Intl Women's Day *ONE DAY ONLY* 3/8 3PM!

SHE'S BEAUTIFUL WHEN SHE'S ANGRY is back to Seattle for International Women's Day (yeah!) March 8th 3PM!

INTL WOMEN'S DAY SPECIAL - ONE SHOW 3/8 3PM!
@[11674174011:274:Northwest Film Forum]
1515 12th Avenue, Seattle, WA 98122
(206) 329-2629
TICKETS: ow.ly/JdJ0G


@[299581723456257:274:She's Beautiful When She's Angry]
Directed by Mary Dore
Trailer: youtu.be/VoT6wdM5kSM
Website: http://www.shesbeautifulwhenshesangry.com/
Twitter: http://www.twitter.com/SBWSA
Instagram: http://instagram.com/shesbeautifulwhenshesangry

SHE’S BEAUTIFUL WHEN SHE’S ANGRY resurrects the buried history of the outrageous, often brilliant women who founded the modern women’s movement from 1966 to 1971. SHE’S BEAUTIFUL takes us from the founding of NOW, with ladies in hats and gloves, to the emergence of more radical factions of women’s liberation; from intellectuals like Kate Millett to the street theatrics of WITCH (Women’s International Conspiracy from Hell!). It does not shy away from controversies over race, sexual preference and leadership that arose in the women’s movement, and brilliantly captures the spirit of the time -- thrilling, scandalous, and often hilarious.

Cedar River Clinics
March 6, 2015 at 7:25 pm

"As we continue to fight back against those who miss the Mad Men era, the 21st Century Women’s Health Act lays out important ways we can and should move forward on women’s health."
The article mentions that Washington State has introduced the Reproductive Health Act. Take action with NARAL Pro-Choice Washington - http://tinyurl.com/knuoecb

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Female Senators Introduce Pro-Choice Bill To ‘Fight Back Against Those Who Miss The Mad Men Era’

thinkprogress.org

The ambitious bill seeks to safeguard access to women's health services as some members of Congress attempt to turn back the clock.

Cedar River Clinics
March 4, 2015 at 8:02 pm

What?!

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Lawyer Arguing Against Obamacare: Statute Written By 'White Women And Minorities'

talkingpointsmemo.com

Michael Carvin, the attorney arguing on behalf of the plaintiffs in the King v. Burwell case, said this challenge is different because the argument against the law centers on a statute that was "written by white women and minorities."