Medical Records & Health Info Forms

Patient Medical Records

Health Information Management


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


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. 

Additional Forms

Request restriction of your Protected Health Information

Request an amendment of your medical records

  • Download the request form in: English, Visually Impaired, Spanish
  • 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.

 

 

 

Medical Records

Requests for copies
360-729-1300

All other questions
360-729-1340

The electronic medical record for patients of PeaceHealth Medical Group providers.

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