Medical Record Release Form
Please click the link above to download the PDF
file, print it out, and return it to:
Issaquah Medical Group, PLLC
450 NW Gilman Blvd
Suite 201
Issaquah, WA 98027
or fax it to (425) 391-9562.
To print out the file, you will need Adobe
Reader. If you do not have Adobe Reader, please
download it at http://get.adobe.com/reader.
To request a form by mail, please call (425)
391-0705.
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