Island Hospital is required by law to maintain the privacy of your health information, to provide you with a notice of legal duties and privacy practices, and to follow the information practices that are described in our Privacy Notice: Joint Notice of Privacy Practices HITECH (available in five languages).
Medical Record Request
You have the right to view or receive a copy of your health information that we maintain, with some limited exceptions. You have the right to receive a copy of your health information in a format you prefer (e.g., paper, email, CD). You have the right to request that your health information be sent to any person or entity. Please allow up to 15 business days for processing.
Access to Your Medical Records
- (Free of Charge) Patients can obtain copies of electronically maintained records at no charge directly from their myIslandHealth patient portal. The myIslandHealth secure web portal allows patients to view & print portions of their medical record.
- (Free of Charge) To send copies of your health information to another provider please complete the Authorization to Disclose/Obtain Protected Health Information (PHI) (Release of Information) form and submit to us via email, fax or mail.
- (Free of Charge) To request records be sent to you directly please complete the Patient Request for Health Information form and submit to us via email, fax or mail.
- (Free of Charge) To request access to view your records please call our Medical Records department to schedule a time to come on site. Note, you may still wish to request copies of your records at that visit, however, depending on quantity may require additional processing days.
Medical Records Department
1211 24th Street
Anacortes, WA 98221
Additional Forms or Requests
Here is what is required on the form.
To be valid, the Authorization to Disclose/Obtain Protected Health Information form needs to be in writing, dated, signed BY THE PATIENT, and must contain the following information:
- From whom the information is to be released (Island Hospital).
- To whom the information is to be released.
- The purpose of the release (box needs to be checked - usually personal).
- What information the patient is requesting needs to be noted.
- The time period when the service was performed. If you can't remember exactly, providing a general time frame gives us a hint (example: July 2018).
- Contain an expiration date (example: one week from today).
- Be signed and dated by the patient.
Spouses generally CANNOT sign for each other. There are, of course, circumstances involving guardianship, minors, Durable Power of Attorney for Health Care (which is only applicable if the patient is unable to sign for themselves), etc. The age requirements for diagnoses involving mental health, alcoholism, drug abuse, pregnancy/pregnancy termination, sterilization, or sexually transmitted disease including HIV/AIDS, are listed on the form.