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Request a Report

A patient record or medical report can be requested by filling in and submitting the form below or by calling (253) 591-5243.

Reports are received Monday through Friday, 8 AM to 5 PM, excluding holidays.

Request a copy of a Patient Record or Medical Report

  

Name

 

  

Date of the Incident 

 

 

Location of the incident 

 

  

My Contact Number is 

 

 



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