Medical Records

• You will need to fill out and return an authorization for release of information form. Be sure to be specific about the information that you need.
• Print the form and be sure to sign and date the request as it will expire 90 days after the document is signed. Return it to the address on the form.
• Please allow our office 5 business days for your record-copying request.
• State law provides that a health care provider may charge a reasonable fee for each medical request. As a courtesy to our patients your first set of records will be provided free of charge. Any additional request will be charged a $23 clerical fee, plus $1.02 per page for the first thirty pages, and $0.78 per page thereafter the first thirty. If there is a fee, you will be notified after we receive your request.

Download Authorization Form

Serving the Bellevue, Kirkland and Redmond Areas