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Whitehorse Family Medicine fax number

(360) 435-3966

Medical Records

Used for: Medical records release / authorization (Authorization for the Release Of Medical Information)

Fax destination details

Department
Medical Records
Purpose
Medical records release / authorization (Authorization for the Release Of Medical Information)
Form
Release of Information Authorization — Authorization For The Release Of Medical Information
Address
875 Wesley St Ste 250, Arlington, WA 98223
Voice phone
(360) 435-2233

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fill patient name and date of birth; indicate information to be released; designate recipient; sign and date; processing may take up to three weeks and copying fees may apply.

Official form instructions are published as a downloadable file on the organization's website.

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