Medical Records Release
If you would like to request that your medical records be sent from Clinic 5C to another healthcare provider, or to authorize another provider to send your records to Clinic 5C, please download and complete the Medical Records Release form.
Once completed, you may submit the form to Clinic 5C by fax or by mailing a printed copy to our office.
Once completed, you may submit the form to Clinic 5C by fax or by mailing a printed copy to our office.
Spokane Clinic (Downstairs)
511 S Pine St Suite A&D
Spokane, WA 99202
Phone: (509) 362-9937
Fax: (844) 961-3417
Fax: (844) 961-3417