Medical Records & Information Release

When patients need a copy of their medical records, Creekside Medical is available to help. Patients may request either printed or electronic copies of their medical records.

PLEASE NOTE: Release of information or medical records requests must comply with state and federal guidelines. Records will not be released without a signed authorization from the patient or the patient’s legal representative.

A person requesting medical records must submit a written consent with the following information:

  • Patient name, date of birth, contact information and last four digits of your SSN
  • Information being requested and dates of service
  • The name and address of the person the information is being released to

Requests will be processed within 15 working days of receipt of the signed authorization. All records requested may be picked up in person at the office by the patient requesting the records, mailed to the patient or faxed to a physician. Valid photo ID is required to pick up medical records. Duplication or copy fees may be assessed. Any fees charged will need to be paid in full prior to  records being released.

Duplication Fees:

Patients and non-patient requestors will be charged clerical and copy fees according to WAC 70.02.0800 plus any applicable sales tax.