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Questions about your Medical Records?

Call us at (425) 899-1920 
Mon-Fri, 8 a.m.-5 p.m.

Request Your Medical Records

We're happy to offer several contactless way to request and receive your medical records.

For your provider's use

If you'd like your medical records sent directly to a health care provider, we will 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.

  • For EvergreenHealth medical records | fax to (425) 899-1933
  • For EvergreenHealth Primary Care medical records | fax to (425) 899-1918

For your personal use

Electronic records

EvergreenHealth supports the release of electronic information to patients through the Sync.MD mobile app platform.

Sync.MD is a personal health record solution that allows consumers to collect and share medical records directly using their smartphone.

The Sync.MD app is available on both the Apple App Store and Google Play; you can learn more at http://syncmd.com.

Contact help@syncmd.com with any questions or support needs.

Paper records

Download and complete our request a copy of your medical records for personal use [PDF] 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:

  • For EvergreenHealth medical records | fax to (425) 899-1933
  • For EvergreenHealth Primary Care medical records | fax to (425) 899-1918
  • Mail to EvergreenHealth, Health Information Management MS-49, 12040 NE 128th Street, Kirkland, WA 98034
  • Email to roi-him@evergreenhealthcare.org

If you have questions about your medical record request, please contact us at (425) 899-1920 during business hours Mon-Fri, 8 a.m.-5 p.m.


Cost of medical record copies

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:

  • Records stored in electronic record system:
    • Delivered electronically—$6.50
    • Printed—$0.90 download + $0.05/pg printing cost
  • Records stored in a paper chart:
    • Delivered electronically - $0.07/pg copying cost
    • Printed - $0.07/pg copying cost + $0.05/pg printing cost
  • Records stored both electronically and in paper chart:
    • Delivered electronically - $6.50 + $0.07/pg copying cost
    • Printed - $0.90 download (electronic record) + $0.07/pg copying cost (paper record) + $0.05/pg printing cost
  • Plus sales tax and postage if applicable

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.


Amendment request to your medical records

If you wish to submit an amendment request to your medical record, please download and complete an amendment request [PDF].

Send the completed form to the Health Information Management department by one of the following methods:

  • Fax to (425) 899-2064
  • Mail to EvergreenHealth, Health Information Management MS-49, 12040 NE 128th Street, Kirkland, WA 98034

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, 8 a.m. to 5 p.m.