Medical records

Patients requesting their own medical records can download the Patient Request for Health Information FORM (below). Please make sure you complete this form in full. Incomplete forms will be returned to the requester, unprocessed. If you are a third-party requestor, such as a family member or personal representative, you can download the Authorization for Release of Health Information FORM (below). Only the patient, the patient’s legal guardian, the parent of a minor patient or the personal representative of a deceased patient may authorize the release of healthcare information. All forms must be completed in full. Incomplete forms will be returned unprocessed. Skagit Regional Health will provide complimentary copies of your health information to your provider. All other requests are subject to a fee. Please inquire about charges.

For information about your medical record, or to speak with someone about your health information, you may call 360-814-8462, between the hours of 8 a.m. and 4 p.m., Monday through Friday or mail the request form to: 1415 East Kincaid Street, Mount Vernon, WA 98273. Attn: Health Information Management. You can also submit a request through this online FORM (below).

www.skagitregionalhealth.org/docs/ default-source/forpatients/medicalrecords/patient-request-for-healthinformation.pdf?sfvrsn=ab7b47bc_0

www.skagitregionalhealth.org/docs/ default-source/forpatients/medicalrecords/authorization-for-release-ofprotected-health-care-information. pdf?sfvrsn=83677789_0 www.skagitregionalhealth.org/contactus/medical-records-release