In order to provide you with a copy of your medical records (e.g., a copy of your immunization or screening histories), we need a signed, written request on file.
Complete this Authorization for Release of Patient Health Information form and submit the completed and signed document, along with a copy of your identification to Health Services in person, or by uploading the documents to our secure patient portal or send it to us by mail, or fax. Do not email this document.
Some records (e.g., immunization summary) are available to print directly from the secure patient portal.
Please allow 5-7 business days for us to process this request.
Mail or fax to:
Seattle Pacific University
3307 Third Avenue West, Suite 110
Seattle, WA 98119-1922
Questions? Phone: 206-281-2231 or fax: 206-281-2674.