Patients who have received care at any Astria Health facility may request copies of their medical record/health information. There are several options for you as a patient and healthcare provider to obtain copies of medical records.
Patient Portal—no cost option for direct access to your care information.
Submit a request online:
The links below will allow you to request your records directly through our vendor Datavant. Your records will be processed within 15 days, allowed by HIPAA and Washington State law, and in most cases will be processed sooner. Please have a copy of your government ID or supporting documentation for patient representatives ready as this will be asked for.
You may request copies by mail, fax, or in-person. Copies of the Authorization to Use & Disclose Protected Health Information form can be downloaded here and sent to:
Authorization to Use & Disclose English
Authorization to Use & Disclose Spanish
By Fax:
509.837.1637
By Mail:
Astria Health
Attn: Health Information Dept.
1016 Tacoma Ave
Sunnyside, WA, 98944
In-Person:
Forms can be completed at the Admitting desk at Astria Sunnyside Hospital, Astria Toppenish Hospital, or any Astria Health clinic. The front desk will take the completed form and send it to our Release of Information team for completion. You have the option of waiting for the records or have them sent to you once completed. There is no guarantee of wait time as our ROI representatives work offsite.
**Incomplete requests are considered invalid and will be returned for additional information. Patient and patient representatives may need to provide supporting documentation to fulfill the request. Government ID, Medical Power of Attorney, Advanced Directive, or Guardianship forms.
**There may be charges associated with production of records through the online request or mail/fax. Any costs will be billed by CIOX/Datavant. Please do not send payment to Astria Health.
Radiology—Our Release of Information services will release your imaging reports, please contact the Radiology department directly for pushing any images to other provider offices for direct care.
Radiology Sunnyside: 509.837.2760
Radiology Toppenish: 509.865.1650
Additional Resources and Health Information Forms:
Astria Health does not issue Birth Certificates. Please refer to the Washington State Department of Health, Vital Records page for more information.
Request to Correct or Amend Protected Health Information:
You may utilize the form below to request a correction to your protected health information that was originated within the Astria Health System/Provider
Request to Correct or Amend English
Request to Correct or Amend Spanish
Request for Accounting of Disclosures of Health Information:
You have a right to request an accounting of certain disclosures of your Protected Health Information allowed by law.
Request for Accounting of Disclosures of Health Information English
Request for Accounting of Disclosures of Health Information Spanish
Authorization for Verbal Disclosures:
You have a right to include individuals involved in your care to receive information regarding your medical or billing information.
Authorization for Verbal Disclosures English
Authorization for Verbal Disclosures Spanish
Revocation of Authorization to Use and/or Disclose Health Information:
HIPPA provides an individual the right to revoke a previous authorization to disclose information at any time.
Revocation of Authorization to Use and/or Disclose English
Revocation of Authorization to Use and/or Disclose Spanish
Please contact the Health Information Department with any questions, by calling 509.837.1636, Monday-Friday, 8:00am-4:30pm (closed all major holidays).
