Everett-Central Walk-In Clinic

Edmonds Walk-In Clinic

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Medical and Dental 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 Information. Once you’ve completely filled out the form, please fax it to our Health Information Specialists at (425) 517-8522.

Our Patient Portal is also available for you to access your personal health information.

Medical and Dental Records - Frequently Asked Questions
How do I request my medical or dental records?

Complete and sign an Authorization to Release and Disclose Protected Health Information form and fax it to (425) 517-8522.

Access the Patient Portal

To view information about your medical or dental appointments, sign up for and log in to the Patient Portal.


Change information in your medical or dental records

The information in your medical and dental records comes directly from your provider’s office. Discuss any inaccurate information with your provider at your next clinic visit. Your health information is reviewed and updated in your medical record during each visit.

Request records for a family member

If you are not the patient, we will need you to provide more information about your right to receive someone else’s records.

We may ask for items like a power of attorney or if the patient is deceased, a death certificate.

Please contact our Health Information Specialists at (425) 382-4095 to assist you in your request.

Medical and Dental Record Charges

There is no charge to send medical and dental records to a physician, clinic, hospital, or other health care provider.

Receiving a birth or death certificate

If you need a copy of a birth or death certificate, please visit the Washington State Department of Health.

Radiology Images

For x-rays, please complete and sign an Authorization to Release and Disclose Protected Health Information form and fax it to (425) 517-8522

Rights and Privacy

Your privacy is important to us. We are committed to care that includes protecting personal information by being dedicated to maintaining information confidentially and complying with regulatory requirements by limiting access to only those who have a legitimate need to view it and regularly educate employees on information protection.

For more information about your rights or how your patient information is used, please view our Privacy Policy.