Your Health Record/Information

How to request copies or authorize release of your medical records for patients:

As a patient, you have the right to receive copies of your medical records from Rockwood Clinic. In order to obtain copies of your records or to authorize release of your medical records to another party, you must complete, sign and date an Authorization to Use and Disclose Protected Health Information form.


To hand-deliver this form, visit any Rockwood Clinic location:
Monday - Friday, 8:00 a.m. - 5:00 p.m.
Phone: (509) 838-2531

To mail, send this form to:
Rockwood Clinic
PO Box 3649
400 E. 5th Avenue
Spokane, WA 99220

You may fax this form to: 
Rockwood Clinic Release of Information Department
Fax: (509) 342-3962


Charges for copies of medical records:

Rockwood Clinic contracts with HealthPort, a professional medical record copying service, to ensure that your copies are available to you as quickly as possible. Please allow up to 15 business days for us to process your request, even though we strive to make the copies available within 3 business days.

Prior to copying your records, HealthPort would like you to know that there is a charge for this service and pre-payment is required. Prices are as follows:

  • 1 - 9 pages: no charge
  • 10-30 pages : $1.09 per page
  • 31 or more: $0.82 per page
  • Electronic copies over 9 pages: $0.49 per page (Rate applies to patient request only)
  • Postage and tax (8.7%) will be charged when applicable.
  • Clerical Fee $24.00 if applicable

The ability to charge for copying of medical records, to cover the costs of labor and supplies, is mandated by the Washington State Legislature as outlined in RCW 70.02.

We often recommend that you request only the pertinent parts of your medical record in order to limit the number of pages copied. This usually includes all of the medical reports documented by the physician (e.g. office visits, procedure notes, immunization reports) from your visit and diagnostic tests (e.g. lab, radiology*, EKGs).

*Please note: Radiology does charge an additional $20 for images that are put onto a CD. Please contact Rockwood Clinic Imaging regarding any request for radiologic images. Imaging can be reached at 509-838-2531. Please allow up to 3 business day for processing.

HealthPort will contact you with the pre-payment amount.  Medical records will not be released until pre-payment is received.


To pay, send your check to:
PO Box 404119
Atlanta, GA 30384

Invoices can be paid online at

If you have any questions, please call:
Rockwood Clinic Release of Information Department
(509) 838-2531

If you have further questions about protected health information, please see our Notice of Privacy Practices.

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