Request Medical Records

In order to get a copy of your medical records from Tri-State Memorial Hospital, you must submit a signed and dated Information Release Form.  You may hand-deliver or fax this form to the medical records office at 509.758.3566.

Information Release Form

Please make sure to include the following information to help ensure quick processing of your request:

• Name (or patient’s name)
• Date of birth
• Social security number
• Date of service and treatment at Tri-State Hospital
• Your address or the address to which you are sending your records
• Your telephone number
• Your signature

Call Tri-State’s Medical Records department at 509.758.5511 with any questions.

Requesting Medical Records of a Deceased Patient

Please contact the Medical Records Department at 509.758.5511. You may need to provide additional documents in order to obtain a copy of the records.