Request Medical Records

We are dedicated to keeping your medical information confidential, which is why we need a completed and signed authorization form in order to release your records.

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To request copies of your medical records, please print the authorization form below:

Authorization for Release or Patient Access to Protected Health Information
English. Download in PDF format.
Authorization for Release or Patient Access to Protected Health Information
Spanish. Download in PDF format.

NOTE: To view and print the release form, you need software that can read PDFs—such as Adobe Reader, which is available for free at http://get.adobe.com/reader.

Return your completed and signed release form:

 

Wenatchee Valley Hospital & Clinic Central Washington Hospital & Clinic
By Mail:
WVH Health Information Management
Confluence Health
PO Box 3510
Wenatchee, WA 98807-3510Phone: (509) 664-4869
Fax: (509) 665-5891In Person:
820 N. Chelan St., Wenatchee, WA
By Mail:
CWH Health Information Management
Confluence Health
PO Box 3510
Wenatchee, WA 98807-3510Phone: (509) 664-3492
Fax: (509) 662-6770In Person:
1201 S. Miller St., Wenatchee, WA

Please allow 14 business days for Health Information Management to process the request

Request Medical Records Questions

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