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Questions about your medical records?

Call us at (360) 794-7497
ext: 1292
Mon-Fri, 8 a.m.-5 p.m.

Request Your Medical Records

We're happy to offer several contactless ways to request and receive your medical records.

For Your Provider's Use

If the medical records are being sent directly to a health care provider, we will accommodate your needs and send the records out, free of charge.

Just have your provider's office fax us a cover sheet with their letterhead requesting what specifically they need for your appointment.

For EvergreenHealth Kirkland Hospital Medical Records

  • Fax to (425) 899-1933

For EvergreenHealth Primary Care Medical Records

  • Fax to (425) 899-1918

For EvergreenHealth Monroe Hospital Medical Records

  • Fax to (360) 794-1292

For Your Personal Use

Electronic Records

You do have the option to submit a request for a copy of your own medical records through your MyNavigator secure messaging.

EvergreenHealth also supports the release of electronic information to patients through the Sync.MD mobile app platform.

Sync.MD is a personal health record solution that allows consumers to collect and share medical records directly using their smartphone.

The Sync.MD app is available on both the Apple App Store and Google Play; you can learn more at http://syncmd.com.

Contact help@syncmd.com with any questions or support needs.

Paper Records

To request a copy of your medical records for personal use, download and complete this form.

Make a photocopy of a government-issued photo ID card, such as a driver's license.

Send the completed form, along with the photocopy of the ID card, to the Medical Records department by one of the following methods:

For EvergreenHealth Kirkland Hospital Medical Records

  • Fax to (425) 899-1933
  • Mail to EvergreenHealth Kirkland, Health Information Management MS-49, 12040 NE 128th Street, Kirkland, WA 98034
  • Email to roi-him@evergreenhealth.com
  • Questions? Contact us at (425) 899-1920 during business hours Mon-Fri, 8 a.m. - 5 p.m.

For EvergreenHealth Primary Care Medical Records

  • Fax to (425) 899-1918
  • Mail to EvergreenHealth Kirkland, Health Information Management MS-49, 12040 NE 128th Street, Kirkland, WA 98034
  • Email to roi-him@evergreenhealth.com
  • Questions? Contact us at (425) 899-1920 during business hours Mon-Fri, 8 a.m. - 5 p.m.

For EvergreenHealth Monroe Hospital Medical Records

  • Fax to (360) 794-1421
  • Mail to EvergreenHealth Monroe, Health Information Department, 14701 179th Ave. S.E., Monroe, WA 98272
  • Questions? Contact us at (360) 794-7497 ext. 1292 during business hours Mon-Fri, 8 a.m. – 5 p.m.

Cost of Medical Record Copies

There is no charge for medical records to be sent directly to a health care provider.

Patient access charges for medical records are as follows:

  • Records stored in electronic record system:
    • Delivered electronically—$6.50
    • Printed—$0.90 download + $0.05/pg printing cost
  • Records stored in a paper chart:
    • Delivered electronically - $0.07/pg copying cost
    • Printed - $0.07/pg copying cost + $0.05/pg printing cost
  • Records stored both electronically and in paper chart:
    • Delivered electronically - $6.50 + $0.07/pg copying cost
    • Printed - $0.90 download (electronic record) + $0.07/pg copying cost (paper record) + $0.05/pg printing cost
  • Plus sales tax and postage if applicable

You will be receiving an invoice from CIOX Health for the requested copies of your medical records. (CIOX Health provides copying and mailing services for EvergreenHealth.)

If you are requesting your medical record for any other purpose, please call (425) 899-1920 to get an estimate of the charges.

Amendment Request to Your Medical Records

If you wish to submit an amendment request to your medical record, please download and complete an amendment request [PDF].

Send the completed form to the Health Information Management department by one of the following methods:

For EvergreenHealth Kirkland Hospital Medical Records

  • Fax to (425) 899-2064
  • Mail to EvergreenHealth, Health Information Management MS-49, 12040 NE 128th Street, Kirkland, WA 98034
  • Questions? Contact us at (425) 899-1930 during business hours Mon-Fri, 8 a.m. - 5 p.m.

For EvergreenHealth Primary Care Medical Records

  • Fax to (425) 899-2064
  • Mail to EvergreenHealth, Health Information Management MS-49, 12040 NE 128th Street, Kirkland, WA 98034
  • Questions? Contact us at (425) 899-1930 during business hours Mon-Fri, 8 a.m. - 5 p.m.

For EvergreenHealth Monroe Hospital Medical Records

  • Fax to (360) 794-1292
  • Mail to EvergreenHealth Monroe, Health Information Department, 14701 179th Ave. S.E., Monroe, WA 98272
  • Questions? Contact us at (360) 794-1447 ext. 1288 during business hours Mon-Fri, 8 a.m. - 5 p.m.

Frequently Asked Questions

Who do my medical records belong to?

Your medical record is the property of EvergreenHealth and is kept by the hospital for patient care purposes. Although these records are maintained for your benefit, the physical records (paper or electronic) are the property of the hospital. The information within your medical records is yours.

Who may request medical records?

You may request copies of your own medical records, the medical records of a minor child, or the medical records of someone for whom you are the legal guardian or hold a Durable Power of Attorney for Healthcare. Proof of legal guardianship or a Durable Power of Attorney for Healthcare must be provided.

A Durable Power of Attorney for Healthcare is only effective in the event a patient is unable to act on their own behalf and that has been determined by a physician.

A spouse or child of a deceased patient can request the medical records of the deceased if he/she is the executor or administrator of the deceased patient's estate. Probate Court documents naming the requestor as the executor or administrator must be provided.

Where there is no estate or an estate will not be probated, Probate Court documents releasing the estate from probate and naming the requestor as the personal representative must be provided. Next of Kin would be followed if the medical record supports release to the requestor.

How can I obtain a copy of my medical record?

Simply follow these steps:

  • Download the Authorization to Release Healthcare Information form.
  • Complete the authorization form (must be a patient or patient's guardian/legal representative) and mail, fax, or hand deliver to:
    • For EvergreenHealth Kirkland Hospital Medical Records
      • Fax to (425) 899-1933
      • Mail to EvergreenHealth Kirkland, Health Information Management MS-49, 12040 NE 128th Street, Kirkland, WA 98034
      • Email to roi-him@evergreenhealth.com
    • For EvergreenHealth Primary Care Medical Records
      • Fax to (425) 899-1918
      • Mail to EvergreenHealth Kirkland, Health Information Management MS-49, 12040 NE 128th Street, Kirkland, WA 98034
      • Email to roi-him@evergreenhealth.com
    • For EvergreenHealth Monroe Hospital Medical Records
      • Fax to (360) 794-1421
      • Mail to EvergreenHealth Monroe, Health Information Department, 14701 179th Ave. S.E., Monroe, WA 98272

What are the fees charged for obtaining a copy of my medical record?

I need my medical records sent to a healthcare provider: Pertinent medical record information is provided to your physician at no charge for continuum of care. You will need to either complete a written authorization or have your provider send us a request directly.

I need to have my medical records sent to Social Security: There is no charge for providing your records to Social Security Administration for disability claims. You will need to complete a written authorization form and provide the social security disability claims letter from Social Security Administration indicating you are applying for Social Security Benefits.

I need to obtain a copy of my medical records for personal use: EvergreenHealth Monroe utilizes a copy service for most requests. The copy service may charge fees based on the amount of records processed and the method of delivery.

How are these fees for obtaining medical records determined?

Fees for requests are determined by the amount of records that must be processed and the method of delivery. Fees are regulated by Washington Administrative Code 246-08-400.

Will my medical record contain Radiology images?

Your record will only contain the radiology report. The actual radiology images are not part of your medical record. You will need to contact the EvergreenHealth Imaging department for images.

EvergreenHealth Kirkland Imaging Department: 425.899.1800

EvergreenHealth Monroe Imaging Department: 360.794.1409

Can you provide me with billing statements from my hospital visit?

Billing statements are not part of the medical record, however, we can obtain them at your request or you may contact the Patient Financial Services Department directly. 

EvergreenHealth Kirkland Patient Financial Services: 425.899.1600

EvergreenHealth Monroe Patient Financial Services: 360.794.1495

Why am I unable to receive fax copies of my records at my home or office?

To protect our patient's privacy, we do not fax or email medical records to patients.

How soon can I expect the release of my medical record?

Washington state law requires that medical records be released within 14 days of the request. However, we typically are able to honor all requests within a week or so. Requests for older records may take longer, as all records 3 years or older are kept in a secure off-site storage facility.

How long do you keep a medical record?

Washington State law requires that hospitals keep a patient's medical record for up to 10 years following their most recent discharge. Hospitals must keep the medical records of minors until the minor reaches the age of 21, or for at least 10 years following the minor's discharge, whichever is longer.

Can I just look at my record?

Yes. However, a hospital employee must be present while you are reviewing your records, so we ask that you call ahead of time to schedule an appointment.

To view your medical records:

  • Contact your care team provider to schedule an appointment or either the Kirkland or Monroe Medical Records Department to schedule an appointment to view your medical records:
    • EvergreenHealth Kirkland Medical Records: 425.899.1920
    • EvergreenHealth Monroe Medical Records: 360.794.1447 ext. 1288
  • Complete a valid authorization for release of information form.
  • Provide photo identification upon arrival.