Swedish is committed to patient safety and our doors will remain open during the strike period of January 28-31. If your appointment needs to be rescheduled during this time, you will be contacted directly by a Swedish caregiver.
Once you have downloaded form, go back to Medical Records page.
Authorization for Disclosure Form (English) (PDF)
Authorization for Disclosure Form (English) Large Print (PDF)
Authorization for Disclosure Form (Amharic)
Authorization for Disclosure Form (Arabic)
Authorization for Disclosure Form (Cambodian/Khmer)
Authorization for Disclosure Form (Chinese simplified)
Authorization for Disclosure Form (Chinese traditional)
Authorization for Disclosure Form (Japanese)
Authorization for Disclosure Form (Korean)
Authorization for Disclosure Form (Punjabi)
Authorization for Disclosure Form (Russian)
Authorization for Disclosure Form (Somali)
Authorization for Disclosure Form (Spanish)
Authorization for Disclosure Form (Tagalog)
Authorization for Disclosure Form (Tigrigna)
Authorization for Disclosure Form (Vietnamese)