Clinic Forms and Other Documents
People wishing to become patients at Bellingham Health should review the New Patients section of the Help for Patients page. Then complete this form. (Phone users may need to rotate their device to landscape mode to complete form submission)
We secure your medical records per HIPAA regulations. Your explicit permission is required to release them. If you would like us to share them with another person, medical office, or business, please complete the release of records form and return it to our office. Depending on the size and purpose of the release, a duplication/processing fee may be charged.
We secure your medical records per HIPAA regulations. If you have previously authorized release of your records to another person, medical office, or business, completing this form and returning it to our office will revoke that authorization.