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.

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Testimonials
We felt so well taken care of from start to finish. We were very impressed and could not have asked for more.

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Cedar River Clinics
November 20, 2014 at 5:43 pm

Today at 2:00 PST the Ninth Circuit Court of Appeals will finally hear the case involving pharmacists' refusal to fill contraception prescriptions. Click below for background on the case and for a link to hear the oral arguments live. As our friends at Legal Voice say, "your right to access safe, legal, and necessary health care does not tread on your pharmacist's freedom of religion..."

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Back in Court: Our (Almost) Decade-Long Fight for Patients' Access to Pharmacy Care

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Listen to the oral argument live! Visit the Ninth Circuit Court website Thursday at 2:00 p.m. PST and click the link to the Portland Pioneer Courtroom.

Cedar River Clinics
November 20, 2014 at 5:32 pm

Cedar River Clinics shared Repeal Hyde Art Project's photo.

On this Transgender Day of Remembrance as we honor the lives of those who have been lost to anti-trans violence, let us also remember that freedom from gender-based violence is a reproductive justice issue.

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By: Repeal Hyde Art Project