Release of Information

Please use this form to request release of your records to another provider. When you have filled it out, please hand it in at the front desk or send it via email, fax, or mail to the birth center where you received care.

 

Release of Information Form (PSBC Kirkland)

Release of Information Form (PSBC Renton)

 

 

 

  1. Kirkland Birth Suite 3
  2. Kirkland Birth Suite 3
  3. Kirkland Family Room
  4. Kirkland Birth Suite 1
  5. Kirkland Birth Suite 1
  6. Kirkland Birth Suite 1
  7. Kirkland Entrance
  8. Kirkland Reception Area
  9. Kirkland Birth Suite 2
  10. Kirkland Birth Suite 2
  11. Kirkland Birth Suite 2
  12. Kirkland Birth Suite 2