Records Transfer Requests
Records request fees:
Records transfered directly to another licensed health care practitioner’s office: No Charge
Records released directly to the patient/parent, the school, attorneys, life insurance agents or other non-healthcare providers are processed for a fee:
Immunization Record Only $10 handling fee plus tax
Other Records Request
1-10 pages: $15.00 handling fee plus tax
10+ pages: $15 handling fee plus $0.80/page plus tax and postage
Records Request Policy
- Under federal law, we must have a signed authorization to release confidential health care information. We cannot release medical information over the phone or via email.
- It can take up to 14 business days to process the records request, although we will make every reasonable attempt to produce records promptly for emergency or urgent care situations.
- As it takes significant staff time and office resources to search for, select, unpin and re-pin, duplicate, mail, and re-file patient records it is not a service our office can provide free of charge. Our fees are well below the levels stipulated in the WAC 246-08-400 and RCW 70.02.010 which dictate how much health care providers may charge for searching and duplicating health care records.
- General Records Request/Transfer: Here is a link to our general records release form.
- Immunization Records Request. We provide families with a Lifetime Immunization Booklet and encourage families to keep it up to date as you will need access to it regularly for school/camp registrations or travel. Each time your child receives a vaccine make sure you write it in the booklet so that you have a complete record and can avoid having to pay for records request fees. Here is the link to the Immunization Records Request form.
Please fill out the appropriate form and return it to our office. We will request receipt of payment prior to preparing your documents.