Please note that it may take up to 15 days to process medical records requests.
Please fax the completed release form to the appropriate entity:
- UW Medicine Neighborhood Clinics
- Belltown Clinic: 206-520-1599
- Factoria Clinic: 206-520-1099
- Federal Way Clinic: 206-520-1799
- Issaquah Clinic: 206-520-1399
- Kent/Des Moines Clinic: 206-520-1499
- Shoreline Clinic: 206-520-1899
- Woodinville Clinic: 206-520-1299
- UW Medical Center and Clinics: 206-598-6186
- Harborview Medical Center and Clinics: 206-744-9997
- Hall Health Primary Care Center: 206-616-4683
- UW Medicine Eastside Specialty Center: 206-520-2249
Note: Patients of the former Auburn Clinic, please fax your completed release form to 206-520-1499.
Release of Information (to Patient)
To be used by patients who wish to receive a copy of their own personal records.
Release of Information (to UW Medicine)
To used by patients who wish to have the UW Medicine Neighborhood Clinics request records from an outside provider.
Release of Information (from UW Medicine)
To be used by patients who are asking that the UW Medicine Neighborhood Clinics release medical records or health information to a non-UW Medicine provider.