Patient Care Records Requests
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Patient Care Records Requests

To request Patient Care Records:

  • Submit a Request for Patient Care Records form via one of the following methods:
Submit a Request Here
  • Email: records@centralpiercefire.org
  • Phone: 253-538-6400
  • Mail: PO Box 940 Spanaway, WA 98387
  • Fax: 253-276-6770
  • In person: 1015 39th Ave #120 Puyallup, during normal business hours (M-F, 8:30-4:30) (Please make an appointment)

Please utilize this form to request records via email, mail or fax: Request for Patient Care Records.

If you are the patient, you will be required to submit a copy of your Driver’s License/government photo identification.

  • If you are not the patient:
    • You will be required to submit a copy of document(s) granting legal authority to the requestor. For example, a designation of legal guardianship or medical power of attorney.
    • You will be required to submit a copy of the requestor’s Driver’s License/government photo identification.

Please call (253) 538-6400 or email records@centralpiercefire.org with questions.

For all other records requests and related questions, please call (253) 538-6400 or email records@centralpiercefire.org.

Frequently Asked Questions

Who do I contact for billing questions regarding medical transport?

For balance verification, please submit a Patient Care Records Request at the link above.

For all other billing inquiries, please contact Systems Design West:

360-394-7010

Toll Free (800) 238-9398

Billing@sdwems.com

PO Box 3510

Silverdale, WA 98383

How long does it take to receive requested records?

CPFR must make patient care records available to a patient within fifteen (15) business days of the request per RCW 70.02.080.

How will the requested record be provided to me?

The preferred method of providing public records is via email. Patient care records will be sent via secure email. By request, records may also be mailed, faxed, or observed in person at the CPFR Administrative & Operations Center during normal business hours.

 

What is third party notification?

If records contain information that may affect others and may be exempt from disclosure, CPFR may send a notice to those parties informing them of the request prior to providing records to the requestor.

What are the fees associated with processing public records?

If hardcopy medical records are requested, the fee is $1.00 per page after the first 10 pages up to 30 pages and $0.75 thereafter. There is a $20 clerical fee for processing medical records requests greater than 10 pages. There is a $5 fee for deliver of records on a CD.