6103 Mt. Tacoma Dr Lakewood, WA 98499
1-253-215-7070

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Need to request a copy of your medical records?

CURRENT CLIENTS:

Any member of your care team can help you complete a request for your medical records. If you are requesting a copy of your own medical records, download the Self Release of Information form and mail or fax it to Medical Records. Download the request form below.

Mail Address: 6103 Mt Tacoma Dr. SW Lakewood, WA 98499

Fax: 253-584-1923
Phone: 253-215-7070

PAST CLIENTS:

If you live in the area, feel free to stop by The Cohen Clinic at Valley Cities and ask a receptionist for assistance. If you are no longer in the area or prefer to request your records remotely, please fax a signed, written request specifying which records you wish to receive to our Medical Records department. Download the request form below.

Fax: 253-584-1923
Phone: 253-215-7070

Download form for Release of Information

Outpatient

Download To Obtain Your Own Records (Release of Information)

13+ Years Old

Download Revocation of Medical Record Information

Outpatient