Medical Records

Our clinic has an office assistant available to serve you in our medical records department Monday thru Friday 8:00 am to 4:00 pm. All FWC patient records are available from 2007 to current in either paper format or electronic copy on a CD (in Adobe Acrobat pdf file format). There is a minimal charge for this service, which is detailed on the Medical Records Release forms. Please call our records department if we can assist you with acquiring a copy of your records at: (360) 567-0326.

**** Unless urgent, please allow 7-10 business days for your paper format records and 2 business days for your electronic format records. Thank you.

Medical Record Forms

For the following tasks, please download, print, and complete the following Adobe Acrobat PDF forms:

Medical Records Release TO Family Wellness Center
If you are requesting that your records come TO Family Wellness Center


Medical Records Release FROM Family Wellness Center
If you are transferring care out of Family Wellness to a new provider.


Consent for Emergency Treatment to Minors
If you wish for someone else to have the ability to bring a minor child in for urgent care besides parents or legal guardian(s).


Request for Confidential Communication of PHI form
If you want someone else to have access to your confidential medical records here.


Notice of Privacy Practices
Learn how medical information about you may be used and disclosed and how you can get access to this information.

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