How to Request Records from Boyer Children’s Clinic

Call our clinic at (206) 325-8477, or fill out the form below to request a copy of your child’s Boyer records. Please allow time after your child’s appointment for reports to be written. We will try to honor requests for records in 48 business hours when possible, and never longer than 15 working days. 

We keep a summary record of the services we provide your child. We will retain these records for at least seven years. If you have questions about records from other facilities, you need to request them from that facility.

Our team will contact you using the contact information entered in the form below. If the contact information does not match the records in Boyer’s system, our team will ask you to provide previous contact information (mailing address, email address, or phone number) to verify your identity, before processing the request. 

We will not disclose your child’s record to others unless you give us a written Authorization for Boyer Children’s Clinic to Use or Disclose Protected Health Information form to do so or unless the law authorizes or compels us to do so. 

Access the Authorization form here: 

• English 
• Spanish 

Mail completed Authorization forms to:  

Boyer Children’s Clinic
Attn: Records Requests
1850 Boyer Avenue East
Seattle, WA 98112  

You may also fax completed forms to (206) 323-1385, attn: Records Requests.