Complete a Release of Information form

If you need your medical, dental or other health records from Neighborcare Health, please print and complete a Release of Information form.

Release of Information forms

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Immunization records

If you need a copy of your own or your child's immunization (vaccination) record, you can print a copy directly from the Washington State Immunization Record website in less than five minutes. Go to, click on log in, and follow the instructions on how to register for an account.

If you prefer to request your immunization record through Neighborcare Health, complete a Release of Information form and return it to Neighborcare Health. Your request will be processed within five business days.

Where to send completed release forms

Completed forms may be mailed, faxed or returned in-person to your clinic or to the Health Information Management team at: 
Neighborcare Health Administrative Office
Attn: Health Information Management  
1200 12th Ave. S, Suite 901
Seattle, WA 98144
Phone: 206-548-3043
Fax: 206-461-8382

See your health records online through MyChart

If you sign up for a MyChart account, you can

  • Communicate with your Neighborcare Health care team
  • See your medication list
  • Get lab results, vaccination records, and other health records
  • Request an appointment

Learn more about MyChart.