The Medical Records department is responsible for keeping complete and accurate information for each patient. Your original health record is property of Providence St. Peter Hospital, but the information in it belongs to you. To obtain copies of your medical record, please contact the Medical Records Department.
To request medical records:
To obtain copies of your health information (medical records) complete the Authorization to Use, Disclose, & Release Protected Health Information form (En español). Please complete the form in its entirety. Failure to provide all of the requested information may cause a delay in processing your request.
Return the authorization form along with a copy of your photo ID to Providence St. Peter Hospital:
- Mail – Providence St. Peter Hospital
Attn: Medical Records Department
413 Lilly Road NE
Olympia, WA 98506
Or hand deliver to the Medical Records Department located on the Lower Level, Monday through Friday 8 a.m.-4:30 p.m.
Please allow 10 to 15 business days (not including weekends) to complete your request. If you have questions regarding the status of your request, or about completing the form, contact the Medical Records Department at (360) 493-7160. To protect your privacy, records cannot be faxed or emailed to patients.
A fee may be associated with the procurement of records, please contact the Medical Records Department for more information.
Medical records can be obtained for a family member if you are the legal guardian or have power of attorney for that person. The patient may also request that records be released to a personal representative. Please contact the Medical Records Department for more information on requesting records for a family member.
To request correction or amendment of medical records:
If you feel that there is an error in your health information (medical records), complete the Patient Request to Amend a Designated Record Set form. Return the completed form using one of the above methods.
In accordance with Washington State law we will review your request and respond within 10 days of receiving the request. A copy of your request will be added to your record.