Records Request
Medical Record Request Form-Spanish
Click to download
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 Health Information Management:
Monday – Friday, 8:00am – 4:30pm
We are unable to accept forms with electronic signatures. Please give us 3-5 working days to respond to your request.
For more information, please call: 360-327-8311
MyFCHHealth Patient Portal Enrollment Form
Click to download
Permission Form for MyFCHHealth Portal Proxy
Click to download
Patient Portal
Mail To:
Forks Community Hospital
Medical Records Department
530 Bogachiel Way
Forks, WA 98331
Fax to:
360-374-5616
Email to:
Deliver to Health Information Management:
Monday – Friday, 8:00am – 4:30pm
All of the information in the Portal comes from your Forks Community Hospital Electronic Health Record. This ensures that you have access to the most accurate, up-to-date information possible.
All of Your Information in One Place
- Health Information
- Lab Results
- Radiology Reports
- Visit History
- Discharge Instructions
- Health Summary
- Appointments
- Upcoming Visits
- Allergies and Medications
- Allergies and Conditions
- Immunizations
- Medications with Instructions
- Billing
- Outstanding Balances
- Historical Charges and Statements
For more information, please call: 360-327-8311
Public Records Request Form
Click to download
Public Records Request
Public Records Request Policy
For more information please contact lacijo@forkshospital.org
Tort Claim Form Packet
Clallam County Hospital District #1 Tort Claim Form Packet
Please carefully read all the information in this packet before completing and presenting your Clallam County Hospital District #1 (CCHD#1) Tort Claim. Tort claims are subject to public disclosure pursuant to RCW 42.56.
PLEASE NOTE:
all documents received by the Risk Manager become the property of CCHD#1 and will not be returned. Please keep a copy for your records and do not send original attachments as they will not be returned.
For more information please contact deborah.dillon@forkshospital.org
