Patient Resources

Patient Resources

Patient Forms
We encourage you to download, print and complete these forms prior to your first appointment:

If you wish to have these forms mailed to you, please contact the appropriate office. If you have not received these forms or do not have them completed, please arrive 15 minutes early for your appointment.

Participating Health Plans
We are contracted with many health plans. Please contact your insurance company to verify you are approved to see one of our providers.

Medical Records
To request a copy of your medical record, print the request form and submit it to:

Harrison HealthPartners Med Records
Harrison Support Services Building
2520 Cherry Avenue
Bremerton, WA 98310-4207

FAX: 360-744-6445


We will respond to your request within 15 days of receipt.
There is no charge to forward records to another provider for continuing care.  For other requests, charges are as follows:

For patients

For third party requests

Paper copies:   $.39 per page for first 200 pages, then $.12 per page

Electronic format: $.36 per page for first 200 pages, then $.12 per page

Maximum charge $400

Plus sales tax & actual postage

Pages 1 – 30:  $1.09 per page

Pages 31 and higher:  $.82 per page

Searching & handling fee:  $24

Plus sales tax & actual postage/shipping


If you have questions about information in your medical record, contact the provider of service.
If you have questions about obtaining copies of your medical record, contact the Medical Records Department at 360-744-6450.

Helpful Health Links

Washington State Medical Association Sites