If the medical records are being sent directly to a health care provider, we will accommodate your needs and send the records out, free of charge.
Just have your provider's office fax us a cover sheet with their letterhead requesting what they need for your appointment.
To request a copy of your medical records for personal use, download and complete this form.
Make a photocopy of a government-issued photo ID card, such as a driver’s license.
Send the completed form, along with the photocopy of the ID card, to the Medical Records department by one of the following methods:
If you have questions about your medical record request, please contact us at 425.899.1920 during business hours Mon-Fri, 8am to 5pm.
There is no charge for medical records to be sent directly to a health care provider.
Patient access charges for medical records are as follows:
You will be receiving an invoice from CIOX Health for the requested copies of your medical records. (CIOX Health provides copying and mailing services for EvergreenHealth.)
If you are requesting your medical record for any other purpose, please call 425.899.1920 to get an estimate of the charges.
If you wish to submit an amendment request to your medical record, please download and complete this form.
Send the completed form to the Health Information Management (Medical Records) department by one of the following methods:
If you have questions about the process for requesting changes to your medical record, please contact us at 425.899.1930 during business hours Mon-Fri, 8am to 5pm.