PUBLIC RECORDS REQUESt
Records Request
The requests for records (public or medical) form can be downloaded below. Please mail or bring it to 911 NE Liberty Rd, Poulsbo WA, 98370.
Record Inquiry
If you have questions about a record you can fill out the below form. If you have not heard from us within 3 business days, please check your spam folder as submission of this form does not deem the request as received.
- Please do not include any personal information outside of what is required on this form (such as DOB or SSN).
- Please note that any records that contain medical information will fall under HIPAA regulations. We will also be following up to obtain further documentation outside of this contact form.