UW 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 UW Medical Center 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 UW Medical Center) (PDF)
To be used by patients who wish to have UW 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 UW Medical Center) (PDF)
To be used by patients who are asking that UW 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 UWMC Medical Records at 206.744.9000