Patients who receive care at Mid-Valley Hospital & Clinic may request copies of their medical records/Protected Health Information (PHI) to be released to themselves or others.
If you have a Patient Portal account, you may already have access to the information you need. Click here to access or register for your patient portal.
To request medical records, please download one of the forms below and return a completed copy to:
Mid-Valley Hospital & Clinic
Fax – 509-826-7678
Email – HIM@mvhealth.org
Mailing Address
Attn: Medical Records
PO Box 793
Omak, WA 98841
Who can request a patient’s medical records?
Subject to certain exceptions, a patient or the patient’s legally authorized representative has a right to inspect and/or obtain a copy of the patient’s Protected Health Information (PHI). Authorizations must be signed by the patient or the patient’s legal representative. Identity verification is required. If the patient is a minor (under age 18), authorization must be signed by a custodial parent or a legally appointed guardian. Proof of guardianship is required.
What if the patient is unable to sign the authorization?
If the patient is unable to sign because of physical or mental disability, authorization may signed by the next-of-kin or legally appointed guardian. Proof of guardianship is required and must indicate the patient’s disability.