Your Pediatrics Northwest records

All records request will be processed by Mary Bridge Children’s Hospital/MultiCare. To request your medical records from Pediatrics Northwest be sent elsewhere (to another provider, yourself, your child’s school, your attorney, etc.), complete and submit the electronic form through the website below. Please note that requests may take up to 15 days to process.

Complete a release form or send a letter

To request a copy of your child’s medical records, completeĀ a release formĀ or send a signed, dated letter specifying what information is to be released and to whom. The release form is also available inĀ Spanish,Ā RussianĀ andĀ VietnameseĀ with instructions included.

Please note that a patient’s signature is required to release some health information (see the ā€œConsent for Minorā€ section on the release form for more details).

After you have completed the release form, please return it to one of the departments below.

Any Pediatrics Northwest Clinic or by:

Fax: 253-333-2419 (only monitored Monday to Friday from 8am to 5pm)

Email:Ā Scan the completed form and send toĀ multicareroi@cioxhealth.com
Mail:
MultiCare
Attention: Health Information Management Department
PO Box 5299
Tacoma, WA 98405

Immunization Records

Washington State Immunization records can also be obtained through the MyIR Mobile website for your entire family.