Records Request


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Medical Record Request Form-English

Thumbnail image of Records Request form to download as PDFClick to download PDF


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Medical Record Request Form-Spanish

Thumbnail image of Records Request form to download as PDFClick to download PDF


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Medical Records Request


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Mail To:

Forks Community Hospital
Medical Records Department
530 Bogachiel Way
Forks, WA 98331


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Fax to:

360-374-5616


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Deliver to Medical Records Department:

Monday – Friday, 8:00am – 4:30pm

We are unable to accept forms with electronic signatures. Please give us 3-5 working days to process your request.

For more information, please call: 360-374-6271 ext. 152

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Public Records Request Form

Thumbnail image of Request for Public Record PDF linkClick to download PDF


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Public Records Request

PLEASE NOTE:
There is no charge associated with requests of less than 40 pages of records.
If the volume of records exceeds the minimum number of pages, it is the policy of the Department to receive all costs associated with a public disclosure request prior to providing the documents.

We calculate the actual copying costs based on the following charges and notify you of the total after the requested records are identified.

Copying Fees: $0.25 each letter and legal sized documents (Pursuant to WAC 332-10-170)

For more information please contact lacijo@forkshospital.org


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