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
September 16, 2014 at 9:08 pm

Another reason to remember in November...Please vote.

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Republicans Unanimously Block Equal Pay Bill

thinkprogress.org

After voting to move the Paycheck Fairness Act to debate, Republicans turned around and quashed it.

Cedar River Clinics
September 16, 2014 at 6:29 pm

"Long-term treatments like Vasalgel are much less appealing to potential funders in the pharmaceutical industry who, as they observe, would much rather “sell pills to men’s partners every month.” Why sell a flat-screen television to a man, after all, when you can rent one to a woman for a decade?"

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Male Birth Control, Without Condoms, Will Be Here by 2017

www.thedailybeast.com

A reversible polymer that blocks sperm is about to enter human trials and will be available by 2017. How will rhetoric change when male bodies are responsible for birth control?

Cedar River Clinics
September 11, 2014 at 10:08 pm

"you get a couple of more days to think about this pregnancy, think about where it's going, you may change your mind"

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Missouri Enacts 72-Hour Abortion Waiting Period

www.huffingtonpost.com

JEFFERSON CITY, Mo. (AP) — Missouri women seeking abortions will face one of the nation's most stringent waiting periods, after state lawmakers overrode the governor's veto to enact a 72-hour delay that includes no exception for cases of rape o...