Medical Records Questions

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:

 

Health Information Management
By Mail:
Health Information Management
Confluence Health
PO Box 3510
Wenatchee, WA 98807-3510
Phone: (509) 664-4869
Fax: (509) 665-5891
In Person:
820 N. Chelan St., Wenatchee, WA
In Person:
1201 S. Miller St., Wenatchee, WA

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

Medical Records Questions

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