You have the right to receive a copy of your health information that we maintain, with some limited exceptions. You have the right to request that your health information be sent to any person or entity. Our Health Information Management department can help you obtain a copy of your medical record. To start the process, you may complete a "Patient Access to Release Medical Records" OR you can send us a written request, signed by the patient (or personal representative), which clearly identifies the patient, the recipient of the records (if different than the patient), and the address to send the records.
To Request Copies of Your Pacific Medical Centers Record
- Please fill out this form:
- Patient Access to Release Medical Records
- Amendment to Medical Record
- Please fax your completed form to (206) 621-4235, or mail your form to:
- Pacific Medical Centers
- Attn: Health Information Management
- 1200 12th Ave S
- Seattle, WA 98144
If you have any other questions or concerns, you can contact us at (206) 621-4150 or write us at the address above. Please include your full name, date of birth, and a contact phone number.
To Request Copies of Your Records from another Clinic or Doctor be Sent to Pacific Medical Centers
Coordinate with your PacMed doctor regarding which of your former records maintained at outside facilities are desired. Please contact the clinic or doctor where you received your care to coordinate the request for the release of information directly to PacMed.
In some instances, charges may apply.
Processing Time: Please allow up to 15 business days to process your request.