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Requesting Your
Personal Records

To submit a request for records,
please do the following:

  1. Fill out a Consent to Release Confidential Information (ROI) DOWNLOAD HERE
  2. Return completed ROI via any of the methods below for processing:

In person to our front desk at our main location:
6926 NE Fourth Plain Blvd.
Vancouver, WA 98661

By mail to:
ATTN: Medical Records Department
P.O. Box 1337
Vancouver, WA 98666

By fax to:

By email to:

Wait 10-14 days for request to be completed and/or ready for pick up. Medical Records will call you when your records are ready to be picked up.

Medical records
fee schedule

  • There is no charge for the first 40 pages of medical records
  • The following fees apply after the first 40 pages:
    • Clerical Fee –$28
    • Fee per page up to 30 pages –$1.24
    • Fee per page over 30 pages –$0.94
  • We will release copies of records to other medical facilities free of charge

Medical records contact information

Reach Release Specialist Trixi French

  • 360-993-3092
  • Fax 360-993-3099
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