Medical Records

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Medical Record Requests 

Cancer Care Northwest is required by law to maintain the privacy of your health information, to provide you with a notice of our legal duties and privacy practices, and to follow the information practices that are described in the Notice of Privacy Practices.

You have the right to request a copy of your health information. You have the right to ask for a copy of your health information in the format you prefer. If CCNW cannot provide it in that exact format, they will work with you to choose another readable format that works for you. You have the right to request that your health information be sent to a person or entity of your choosing.

 

Obtain your medical records via MyChart

MyChart, powered by Epic, is a free service that offers you online access to your health record. Whether you are at work, at home or on the go, you'll have secure access to view visit summaries and care instructions, test and imaging results and direct communication with your CCNW care team via MyChart. You can also view billing information and pay your bill through MyChart.

To sign up for a MyChart account, visit MyChart.

 

Request a copy of your medical records

To request a copy of your medical records to be sent to you or someone else, please complete the Authorization for Disclosure form.  All information is required for completion except the sensitive information section which is optional.

Authorization to Disclose Protected Health Information Form

 

Submit your request

Submit your completed form to CCNW Medical Records department:

• Cancer Care Northwest
  Attn: Medical Records
  1204 N Vercler Rd
  Spokane Valley, WA 99216
• CCNWmedicalrecords@ccnw.net
• Fax: 509-252-9316 
• Check Status: Call 509-228-1123 to check the status of a request or if you need assistance making a request.

 

Processing time

CCNW follows Washington State Law which allows for up to 15 business days to respond to a written request; however, CCNW will process your requests as soon as soon as we can.

 

Fees

No-Cost Records

CCNW will provide the following records to patients at no charge:

• The first thirty (30) pages of records requested by a patient will be provided (one time only) at no charge.
• Medical records with a date of service within the previous thirty (30) days may be provided to the patient at no charge by clinical staff.
• One free copy will be provided for Social Security Disability Appeals in accordance with HB 1239
• Any purpose required by law
• Documents needed for continuity of care will be provided directly to other providers at no charge.

Fees for Record Requests

When a patient or authorized representative requests copies of medical records exceeding thirty (30) pages, the following fees may apply:

Paper Records

• Pages 1 through 30 (following release of first 30 pages no charge): $1.24 per page
• Pages 31 and above: $0.94 per page

Additional Charges

The following may also apply:

• Actual cost of postage or shipping
• Cost of electronic media (CD, DVD, USB drive) when requested
• Fees otherwise permitted under applicable state or federal law

Multiple Copies

Patients are encouraged to retain copies provided by CCNW. Requests for duplicate copies of records previously released may be subject to additional applicable fees.

Payment

Any applicable fees must be paid before records are released unless otherwise required by law.

Exceptions

CCNW may waive fees when required by law, when records are requested for continuity of care, or under circumstances approved by CCNW administration

 

Requesting records for someone else

If you are an attorney, contracted third-party or a state/federal agent requesting records on behalf of someone else, please fax your request to 509-252-9316.

If you are a healthcare provider seeking records for a mutual patient, continuity of care or a transfer of care please call 509-228-1123.

 

Radiation Exposure Compensation Act (RECA) / Downwinders Program