Please submit your forms by email or fax
Please refrain from submitting any of the forms on this webpage via mail. Instead, please send by email or fax them to 206-320-2626. We want to keep our patients and staff safe during this COVID-19 season by reducing the amount of paper requests we receive. Thank you.
Swedish is required by law to maintain the privacy of your health information, to provide you with a notice of our legal duties and privacy practices, and to follow the information practices that are described in this Privacy Notice: Notice of Privacy Practices (available in eleven languages).
You have the right to receive a copy of your health information that we maintain, with some limited exceptions. You have the right to receive a copy of your health information in a format you prefer (e.g., paper, email, CD). You have the right to request that your health information to be sent to any person or entity.
Obtain your medical records via MyChart
Patients can obtain copies of electronically maintained records at no charge directly from their MyChart account. The MyChart secure web portal allows patients to view portions of their medical record, send a message to their care team, view and pay bills, and request copies of medical records.
To sign up for a MyChart account, visit MyChart.
Request access, authorize disclosure via forms or in writing
To receive a copy of your health information, you may choose the Patient Request for Access Form, you may write a letter, or if you prefer, you may use the Authorization for Disclosure Form:
Patient Request for Access Form - in English and Other Languages
Authorization for Disclosure Form - in English and Other Languages
If you choose to write a letter, it must include the following required elements:
- Signed by the individual (patient)
- Clearly identify the patient, preferably name and date of birth
- Clearly identify the person designated to receive the records
- Identify what records are to be included
How to submit your request
For Swedish Medical Center (all campuses), Swedish Cancer Institute (all campuses), Express Care Virtual and Swedish ExpressCare at Walgreens:
Swedish Medical Center
Attn: Health Information Management
Seattle, WA 98122
Radiology fax: 206-233-7380
Business hours: 8 a.m. - 4 p.m.
For Swedish Medical Group Primary & Specialty Care clinics:
Please contact us by phone or fax to request medical records.
Please allow up to 15 business days.
- For medical use, there is no fee if records are to be sent directly to a doctor or other healthcare provider for the purpose of continuing care.
For copies for patients or their representatives, there may be a reasonable, cost-based fee.
For copies for other uses, the current rates set by Washington state law may apply.
For credit card payments, please call 206-320-3850, option 3.
Patient Request to Amend a Designated Record Set
You may write a letter or complete this form to request a correction to your Protected Health Information which was originated or created by a physician.
Accounting of Disclosures request
Patient Request for an Accounting of Disclosures
You may write a letter or complete this form for an accounting of disclosures of your Protected Health Information by Swedish Medical Center.
Restriction or Revocation Request
Patient Release Restriction or Revocation Form
You may write a letter or complete this form to restrict the release of your Protected Health Information, revoke a previously signed authorization, or to opt out of Care Everywhere.