Thank you for your interest to obtain Medical Record information from Sacred Heart.
To assist in your request, use the "Authorization for Release of Information" form; the link is to the right. Please download, complete and return the form to our office, along with a copy of your driver's license or other legal picture identification. The address is included on the form. Your may fax your request to our Correspondence Department at (509) 474-3061 to help expedite processing.
When we have received this release and verification of identity, we will process your medical records request promptly.
If you are signing on behalf of a patient for whom you are legal guardian or personal representative, you must attach a copy of your appointment as legal guardian or personal representative. If you are signing on behalf of a patient who is deceased, you must attach a photocopy of the client’s death certificate.
Please call us at (509) 474-3075 if you have any questions.
Ensuring the protection of confidentiality of patient records is our top priority. Thank you for you patience and assistance.