Medical release form. Text. Use this form to send your records to an individual or facility. View form. |
Washington - Health Information Department, 3901 Hoyt Avenue, Everett, WA 98201. If you have questions regarding your request, please call: 1-888-423-1079 ( ... |
Patients can obtain copies of electronically-maintained records at no charge directly from your MyChart account. |
All requests for public records must be in writing and be accompanied by the Request for Records Form (PDF). General guidance on obtaining administrative ... |
To request medical records, please fax your request, along with a patient signed Authorization for Release and Disclosure of Medical Information, to 425-257- ... |
Edit, sign, and share the everett clinic medical records online. No need to install software, just go to DocHub, and sign up instantly and for free. |
Everett Family Medicine, Patient/ Guardian: Request records online HERE, All Others: Fax this request form to 425-317-9516. Grove Street Family Clinic, Patient ... |
You can also call 1-425-259-0966 or 1-800-533-7035 toll free. Use MyChart to send a secure, confidential request. |
The Everett Clinic Medical Records. Check out how easy it is to complete and eSign documents online using fillable templates and a powerful editor. |
Proxy Access - Individuals age 18 or older may request proxy access to another individual's medical record account by completing the Proxy Access portion of the ... |
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