How to request your medical records
As a patient, you have the right to receive copies of your medical records from MultiCare Yakima Memorial Hospital. In order to obtain copies of your records or to authorize the release of your medical records to another party, you must complete, sign and date the form below.
Forms for Authorization to Use and Disclose Protected Health Information
- Download PDF form (English)
- Download PDF form (Spanish)
- Download PDF form (Russian)
- Download PDF form (Vietnamese)
Please print and fill out the authorization form completely. Then, mail or fax the form to the medical records department:
- Fax: 509-575-8685
- Mail:
MultiCare Yakima Memorial
Attn: Medical Records Department
15 West Yakima Ave, Suite 100
Yakima, WA 98902
If you have additional questions, please call the Medical Records department at 509-575-8082.
To correct or amend your medical records, please use theĀ Request to Correct or Amend Protected Health Information form.