Everett Clinic Medical Records Request

Medical Release Form - The Everett Clinic

https://www.everettclinic.com/patient-information/patient-forms-resources/medical-release-form.html

Medical Release Form - The Everett Clinic Medical release form Use this form to send your records to an individual or facility.

Authorization to Release Medical Records - Everett Clinic

https://www.everettclinic.com/content/dam/optum3/everett-clinic/resources/pdf/everett-medical-release-form.pdf

Please fax this completed form to: 1-678-897-4264 or mail to: The Everett Clinic - Health Information Department, 3901 Hoyt Avenue, Everett, WA 98201 If you have questions …

THE EVERETT CLINIC get medical records - syncmd.com

https://syncmd.com/clinics/the-everett-clinic-wa-everett-4027-hoyt-ave-98201

To request records from THE EVERETT CLINIC please choose an option: Receive text message with access link Enter your phone number to receive a unique THE EVERETT …

Medical Records| Providence Regional Medical Center …

https://www.providence.org/about/medical-records-authorization/medical-records-wa/everett

THE EVERETT CLINIC get medical records - syncmd.com

https://syncmd.com/clinics/the-everett-clinic-wa-everett-3726-colby-ave-98201

To request records from THE EVERETT CLINIC please choose an option: Receive text message with access link. Enter your phone number to receive a unique THE EVERETT …

Patient Forms for all WWMG Practices

https://www.wwmedgroup.com/patient-forms/

Records Release Podiatry Podiatry New Patient Packet Notice of Privacy Practices Consent For Minors – Podiatry Authorization for Release of Information Refurbishment of …

Medical Records - CHAlliance.org

https://www.challiance.org/patients-visitors/medical-records

Medical Records Home Patients & Visitors Medical Records Medical Records Get a Copy of Your Medical Record Transfer Your Records to CHA Request an Amendment …

Medical and Dental Records - Community Health Center …

https://www.chcsno.org/records/

Submit a Medical or Dental Record Request. If you would like to request your medical or dental records, please fill out an Authorization to Release and Disclose Protected Health …

Request Your Medical Records | Patients in Washington

https://www.providence.org/about/medical-records-authorization/medical-records-wa

Medical Records from Washington Medical Records from Washington Providence is committed to providing high quality, compassionate health care to all. Select the region …

Contact Us - Community Health Center of Snohomish County

https://www.chcsno.org/contact-us/

To request Medical or Dental records, call us at (425) 382-4095 or fax records to (425) 382-4093. Release of Information (ROI) requests should only be faxed to (425) 517-8522. …