How to request your medical records from MultiCare Yakima Memorial
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 “Authorization to Use and Disclose Protected Health Information” form. Please see the links below to download this form.
- Download the authorization form – English
- Download the authorization form – Spanish
- Download the authorization form – Russian
- Download the authorization form – Vietnamese
Please print and fill out the authorization form completely. Then, mail or fax the form to the medical records department:
MultiCare Yakima Memorial
Attn: Medical Records Department
15 West Yakima Ave
Suite 100
Yakima, WA 98902
Phone: 509-575-8082
Fax: 509-575-8685
To correct or amend your medical records, please use the Request to Correct or Amend Protected Health Information form.