Please complete and sign these release forms, following the instructions below.
1. Records can be faxed, mailed, or picked up at the clinic. In the “To:” section of the Medical Release form, tell us to whom and how/where the records are to be released. Examples of this section:
2. Give a current phone number in case there is a question about the request.
3. A copy of the ID must be included with the record release forms.
4. The release & ID can be dropped off at the clinic, faxed to 425-255-0262, mailed to 263 Rainier Avenue S, Suite 200, Renton, WA 98057 or sent through the Medical Records Request Form.