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Request for Medical Records

To request copies of medical records from Providence Sacred Heart Children’s Hospital

Download the Authorization for Release of Information form.

Complete the form and return it, along with a copy of your driver’s license or other legal photo identification. We’ll verify your identity and process your request promptly.

If you’re signing on behalf of a patient for whom you are legal guardian or personal representative, you must include a copy of documentation naming you as such. If you’re signing on behalf of a patient who is deceased, you must attach a photocopy of the client’s death certificate.

Please call (509) 474-3075 if you have questions.

Ensuring the protection of confidentiality of patient records is our top priority. Thank you for your patience and assistance.