Medical Records

As one of our patients, you may request a copy of your health information at any time. You may download and print our Authorization for Disclosure of Personal Health Information.

There are several ways you can request your Proliance records:

• Submit your written request or Authorization for Disclosure of Personal Health Information to medicalrecords@proliancesurgeons.com
• Mail a completed Authorization for Disclosure of Personal Health Information to:

Proliance Surgeons
Attn: Medical Records
805 Madison Street, Suite 901
Seattle, WA 98104

• Fax a completed Authorization for Disclosure of Personal Health Information to (206) 257-3137.
• If your healthcare provider needs access to your records, please contact the clinic or surgery center directly.

If you have any questions about a pending request you’ve made, please feel free to email us at medicalrecords@proliancesurgeons.com or call us at (206) 838-2599.