Individual Request for Records

Your health record belongs to you. To make a formal records request to receive a complete copy of all records related to your care at Frontier Behavioral Health, follow the instructions below.

  • Download and complete the Individual Request for Records form (here)
  • Send the form via mail, FAX, or drop off the form in person at any of our clinic locations.
    • Mail:
      Frontier Behavioral Health
      c/o Medical Records
      107 S. Division St.
      Spokane WA 99202
      FAX: 509.456.4536

To be valid, an Individual Request for Records should:

  • Identify the patient including DOB, physical address, and Social Security number.
  • Identify the information to be disclosed.
  • Initial how you would like to receive your records.
  • Be dated and signed by the patient (13 years of age and older must sign) or legal guardian.
    • If the individual is 12 years of age or younger, or the adult is a dependent, a parent, legal guardian or other representative is required to sign.

Please allow sufficient processing time. Washington state law allows for a turnaround time of up to 15 business days. If you need assistance or have any questions regarding the status of a request, please contact Medical Records at 509.458.7470.