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MEDICAL  RECORDS  REQUEST

Request medical records, download the appropriate forms, and find contact information for Ryther's Health Information Administration.

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DOWNLOAD FORMS

Release of Confidential Information

Obtain Your Own Records

Revocation of Release of Information

HOW TO REQUEST MEDICAL RECORDS

STEP 1
Complete the Form

Clients or parents/legal guardians must fill out the authorization form.

STEP 2
Submit the Form

medicalrecords@ryther.org

P: 206.525.5050   |   F: 206.525.9795

Ryther

Attn: Health Info Admin

2400 NE 95th St, Seattle WA 98115

STEP 3
Receive Records

  • Once your request is received, a response will be provided within 15 business days.

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  • Encrypted email is preferred and the fastest method to receive copies of medical records.

Request Medical Records: Current & Past Clients

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Current Clients: The Client Portal is a convenient, fast, and easy way to access your medical records online. ​Current clients will be able to access medical records through the portal once registered. If you need additional records or help with a Release of Information (ROI) request, any member of your care team can assist you.

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Past Clients: Clients who are no longer receiving services from Ryther will not have access to medical records through the Client Portal. If you need a copy of your records, please submit a signed written request to Health Information Administration by mail, fax, or email. If you live in the area, you may also visit Ryther and ask the front desk for assistance.

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For All Ryther Clients

 

If you are requesting a copy of your own medical records, please download the appropriate request form and submit it to Health Information Administration by mail, fax, or email. ​Your records will be available within 15 business days after we have received your request. All requests are processed in the order they are received (RCW 70.02.080).

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Effective July 1st , fees may apply to certain third-party medical record requests, including attorney, subpoena, or court-order requests, in accordance with Washington state medical record copy fee limits. (WAC 246-08-400)

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Information We Need

To process your request, the Consent for the Release of Confidential Information form must include:

 

  • Client’s full name and date of birth​

  • Whether Ryther is releasing information to another person or organization, or receiving information from another person or organization​

  • Name of the person or organization sending or receiving the records​​

  • Relationship to the client​

  • Address, phone number, fax number, and email address for the receiving person or organization​

  • The records or information to be released​

  • The purpose of the disclosure​

  • The preferred method of release​​

  • Signature and date

    • Client signature for clients age 13 or older

    • Parent or legal guardian signature with medical decision-making authority for clients under age 13

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