Patient Medical Records

Health Information Management

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Please Note: Access to much of your PeaceHealth personal health record is available, free of charge, online at: My PeaceHealth

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To request copies* of your medical records:

Complete a request form:

• Download the request form in: English, Spanish, Russian, Vietnamese or Tagalog
• Return completed form to us using one of the methods below.
  • Email: releaseofinfo@peacehealth.org
  • Fax: 360-527-9383
  • Mail:
         PeaceHealth
         Attention: Health Information Management- ROI
         1115 SE 164th Avenue, Dept. 336
         Vancouver, WA 98683

Or, call us at: 360-729-1300

• Our customer service team is available 7:00 am to 5:30 pm PST Monday through Friday, except holidays. Voice messages can be left after hours.

* There is a charge for copies of your records. 

•  For pricing, please download a letter in: English, Spanish, Russian, Vietnamese, or Tagalog. Or, call and ask a representative for details.

Additional Forms

Request restriction of your Protected Health Information

• Download the request form in: English, Visually Impaired, Spanish, Russian, Vietnamese, or Tagalog.
• Submit completed form before receiving services

Request an amendment of your medical records

• Download the request form in: English, Visually Impaired, Spanish, Russian, Vietnamese, or Tagalog.
• Mail completed form to:
       PeaceHealth
       Attention: Health Information Management- ROI
       1115 SE 164th Avenue, Dept. 336
       Vancouver, WA 98683

Need help?

If you have questions about obtaining copies of medical records please call our customer service team at 360-729-1300 or email us at releaseofinfo@peacehealth.org.