Medical Records Release Form Instructions

 

DownLoad the Medical Records Release Form

1. Print authorization form
2. Fill out form completely and sign
3. Send form to Clark County Health Department either by fax, mail or in person:

Fax to: 360-397-8402

Mail to: PO Box 9825
Vancouver WA 98666

In person: 1601 E Fourth Plain Blvd, 3rd floor
Vancouver, WA 98661

4. There may be a fee for making copies of your record. Please contact the medical records department for more information at 360-397-8000, ext 3084.