Medical Record Request Form-English
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Records Request
Medical Record Request Form-Spanish
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Medical Records Request
Mail To:
Forks Community Hospital
Medical Records Department
530 Bogachiel Way
Forks, WA 98331
Fax to:
360-374-5616
Email to:
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 Form
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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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