Records Request

Medical Record Request Form-English

Medical Record Request Form EN
Click to download PDF

Medical Record Request Form-Spanish

Medical Record Request Form SP
Click to download PDF

Medical Records Request

Mail To:

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

Fax to:

360-374-5616

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

Public Records Request

Public Records Request Form

Public Records Request Form
Click to download PDF

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)