The Vancouver Clinic is very concerned about insuring the privacy of our patients records. Requests for release of information, whether releasing information to the patient or someone else, must be in writing and signed by the patient or their legally authorized representative. You may pick up a Release Authorization form at any of our facilities or print the form here:
                              Release Form(.pdf)

You may either mail or fax the completed form back to us, or drop it off at any one of our facilities. Our fax number is (360) 604-1714.

Please be aware that by law we have 7-10 business days to complete requests for information. Please also be aware that there may be a charge for copying and delivering information.

Records can be mailed to the designated recipient or they can be picked up at our Columbia Tech. Center location in Suite 260A. You will be required to provide proof of identity (photo I.D.) if you choose to pick up your records.