Good samaritan hospital birth records

We are happy to help you request copies of medical records.

Release of Medical Information

To successfully request medical records, you must download and properly complete an authorization form. After we receive your completed form, we can release your medical records.

Download Authorization Release Form English. Download Authorization Release Form Spanish.

Patients and Visitors

If you do not already have an Adobe Acrobat Reader, download a free copy now. If the patient is unable to sign the request form due to a physical or mental disability, a guardian or court-named personal representative may sign for the patient. If the patient has no guardian or personal representative, the individual with medical power of attorney may sign for the patient. You must provide appropriate legal documentation with the request form if the patient is unable to provide their own signature. While we can provide medical information and records, we cannot provide copies of birth certificates.

You can send your request to us through fax, mail, email, or in person. If you email the form, it must be attached as a scanned document. We will fulfill your medical records request within 7 to 10 business days, and we will inform you if we experience an unexpected delay. We may apply fees or charges in accordance with SCL Health policies, but we will notify you of any applicable fees before we process your request.

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Medical Records | Patient Guide

Good Samaritan Medical Center. Can we help you?

Are you looking for a doctor or location? Select Chat Now to be connected with someone who can help. MultiCare gives you, or your authorized representatives, two options for accessing your MultiCare medical records:. The instructions below will walk Puget Sound-area patients through the differents steps to take to access your medical records.

MyChart is MultiCare's secure, web-based patient information portal. You can log in online from the MyChart home page , or use the MyChart mobile app , to review information from your medical record, including:.

Patients and Visitors

If you would like to assign a family member or someone you have a close relationship with, access proxy to your MyChart account, you must complete the MyChart Proxy Access Release of Information Request Form , and send to the address listed below. You can also complete this form electronically at your next visit at MultiCare. For more information on using the patient portal and downloading your records, download this Using the Patient Portal information sheet.

Take a tour of Good Samaritan's Birthing Center

If you have additional questions, call the Health Information Department at toll-free. We are open Monday through Friday; 8am to pm, and closed on holidays.