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:
    • Fax: 360-527-9383
    • Mail:
           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

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



Medical Records

Requests for copies

All other questions

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