Patients & Visitors

Release of Information

The Walla Walla Clinic respects your privacy. We understand that your personal health information is very sensitive. We will not disclose your information to others unless you tell us to do so, or unless the law allows us to do so.

An authorization form is available from any receptionist at the Walla Walla Clinic or by clicking on the PDF file link below.

Download Release of Information Form »

When requesting your medical information, please fill out the form completely and return it to the Walla Walla Clinic or you can mail it to:

Walla Walla Clinic

Attn: Release of Information Department

55 W. Tietan St.

Walla Walla, WA 99362.

If you are releasing your records to another provider, this process will take no more than 15 days and there is no processing fee. If you are requesting a copy for your personal records, it will take about 15 days and a processing fee will be charged.

Please feel free to call us at 509-525-3720, ext. 1220, during our normal business hours if you have any questions. You may email the release of information clerk at

Health Information fax: 509-525-6897

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