Harborview Medical Center
Please note that it may take up to 15 days to process medical records requests.
Release of Information (to Patient) (PDF)
To be used by Harborview patients who wish to receive a copy of their own personal records. Please fax the completed form to 206.744.9997.
Release of Information (to Harborview Medical Center) (PDF)
To be used by patients who wish to have Harborview Medical Center request records from an outside provider. Please fax or submit the completed form to the non-UW Medicine provider.
Release of Information (from Harborview Medical Center) (PDF)
To be used by patients who are asking that Harborview Medical Center release medical records or health information to a non-UW Medicine provider. Please fax the completed form to 206.744.9997.
If you need assistance regarding these forms, please contact HMC Medical Records at 206.744.9000.