Medical Records Request

  • In the left column, locate the name of WWMG clinic you would like to request records from.
  • If you are the patient or guardian, follow instructions in the middle column.
  • If you are not the patient or guardian, follow the instructions in the right hand column.

FAMILY PRACTICE / PRIMARY CARE:

Everett Family MedicinePatient/ Guardian:
Request records online HERE
All Others:
Fax this request form to 425-317-9516
Grove Street Family ClinicPatient/ Guardian:
Request records online HERE
All Others:
Fax this request form to 360-657-3268
Lake Serene ClinicPatient/ Guardian:
Request records online HERE
All Others:
Fax this request form to 425-787-1055
Marysville Family MedicinePatient/ Guardian:
Request records online HERE
All Others:
Fax this request form to 360-659-7267
Snohomish Family MedicinePatient/ Guardian:
Request records online HERE
All Others:
Fax this request form to 360-568-1722
Whitehorse Family MedicinePatient/ Guardian:
Request records online HERE
All Others:
Fax this request form to 360-435-3966

SPECIALTIES:

CardiologyPatient/ Guardian:
Request records online HERE
All Others:
Fax this request form to 425-225-2790
Ear, Nose & Throat / Allergy / AudiologyPatient/ Guardian:
Fax this request form to 425-791-3094
All Others:
Fax this request form to 425-791-3094
EndocrinologyPatient/ Guardian:
Request records online HERE
All Others:
Fax this request form to 425-420-1651
Gastroenterology / EndoscopyPatient/ Guardian:
Request records online HERE
All Others:
Fax this request form to 425-252-9860
Imaging CenterPatient/ Guardian:
Fax this request form to 425-263-8990
All Others:
Fax this request form to 425-263-8990
NephrologyPatient/ Guardian:
Request records online HERE
All Others:
Fax this request form to 425-258-1944
NeurologyPatient/ Guardian:
Request records online HERE
All Others:
Fax this request form to 425-322-0992
Orthopedic, Sports, Spine & HandPatient/ Guardian:
Fax this request form to 425-317-9118
All Others:
Fax this request form to 425-317-9118
PodiatryPatient/ Guardian:
Request records online HERE
All Others:
Fax this request form to 425-259-0856
PsychologyPatient/ Guardian:
Request records online HERE
All Others:
Fax this request form to 425-252-4778
PulmonaryPatient/ Guardian:
Request records online HERE
All Others:
Fax this request form to 425-673-5466
RheumatologyPatient/ Guardian:
Request records online HERE
All Others:
Fax this request form to 425-248-2627
Sleep MedicinePatient/ Guardian:
Request records online HERE
All Others:
Fax this request form to 425-673-5466
Surgery CenterPatient/ Guardian:
Fax this request form to 425-374-5161
All Others:
Fax this request form to 425-374-5161

List of allowed charges for WA State health records. You may also be charged a clerical fee and sales tax for retrieving your records.

Non-patients, please download our Medical Records Release Form and submit per the contact info above. Thank you.