Tri-Med Ambulance 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 this Privacy Notice: Notice of Privacy Practices.
To receive a copy of your health information, you may choose to complete the Authorization to Release Healthcare Information Form or write a letter.
If you choose to write a letter, it must include the following required elements:
- Signed by the individual (patient)
- Clearly identify the patient, preferably by name and date of birth
- Identify the preferred method for receiving records
- Identify what records are to be included
Submitting Your Request
Patients may submit their request for records in any of the following ways:
18821 E Valley Hwy
Kent, WA 98032
For copies for patients and their representatives, there may be a reasonable, cost-based fee.
To receive a copy of health information for your patient, please make your request in any of the following ways:
For medical use, there is no fee if records are to be sent directly to a doctor or other healthcare provider for the purpose of continuing care.
Tri-Med Ambulance fulfills third-party record requests electronically via ChartSwap, www.ChartSwap.com. Our company name appears as Tri-Med Ambulance & Transportation. ChartSwap is a HIPAA-compliant platform launched to facilitate electronic medical and billing record exchange between medical providers, law firms and other parties. It’s free to register and use ChartSwap to request, track, pay for and download records. Please visit the ChartSwap website for more information.
For copies for other uses, the current rates set by Washington State apply.