Request records, forms, & certifications


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Medical records request

You have the right to view or get copies of your or your child’s medical record. You can view them online or request electronic copies if you get care at a Kaiser Permanente medical office. You can also request your health information be sent to any person or entity.

 

Radiology images

Radiology images for Vancouver/Longview and Northern Oregon call 503-571-8451.

View Radiology Reports Online
You may view your radiology reports online if you have registered online and your Kaiser Permanente doctor releases them to your online medical record. However, digital images aren't available for members to view online at this time.

Requesting copies
You can request copies of your radiology digital images — such as an X-ray or a mammogram — by contacting your Kaiser Permanente clinic. Or, call the Kaiser Permanente Radiology or Imaging Center where you had service; imaging centers are listed below.

For echocardiogram results and digital copies, contact your cardiologist. Echocardiograms are not provided by Radiology.

Copies of digital images are available on CD. There is no charge if you are requesting that digital images be sent directly to a non-Kaiser Permanente facility for your ongoing care. Charges may vary for personal copies. Ask about charges when you call to request a copy.

How to Request Copies
You can pick up your digital images in person, have them mailed to you, or request that they be sent to a non-Kaiser Permanente provider.

While many requests are processed the same or next day, some may take more than 72 hours (excluding weekends and holidays) to process. If you need digital images for an appointment in the next seven business days, it is strongly recommended you pick up your CD in person and take it to your appointment.

Fill Out Form and Show ID
To request your digital images in person, via mail, or to have them sent to a non-Kaiser Permanente provider, you must complete and sign the Authorization to Release Health Care Information form (PDF). To pick up your CD in person, you must show your driver's license or other approved photo ID.

If you need someone else to pick up the CD, that person must bring a note from you. The note should include: your full name, date of birth, and member ID number. It should also include the full name of the person picking up the CD, and their relationship to you. The person must show their driver's license or other approved photo ID.

Encrypted CDs
Any CD not handed directly to a patient, a patient's legal guardian, or a person with the patient's durable power of attorney will be encrypted according to federal privacy laws. This means that CDs sent to a non-Kaiser Permanente doctor will be encrypted.

Instructions are included with encrypted CDs on how to view them on a computer compatible with Windows 2000 and later versions. The unencryption process is fairly simple; however, if digital images will be viewed by a non-Kaiser Permanente provider, it is recommended you pick up an unencrypted CD and take it to your provider.

Kaiser Permanente Imaging Centers
Although you can request copies of digital images from any of our medical centers, requests are processed faster through our imaging centers.
 


Family and Medical Leave Act (FMLA)

The Family and Medical Leave Act (FMLA) entitles employees to take unpaid time off work for a total of up to 12 weeks for their own serious health condition or a family member's serious health condition. FMLA defines "a serious health condition" as any illness, injury, impairment, or physical or mental condition that involves either inpatient care or continuing treatment by a health care provider. To learn more about FMLA, go to the federal FMLA site.

Because some applications for family and medical leave require medical certification, Kaiser Permanente has implemented a standardized FMLA process to organize and streamline the review and provider certification of your FMLA forms. Please note, additional appointments may be required if the patient has not had a recent visit for the condition listed.

WA State Paid Family & Medical Leave (PFML)
The WA State Paid Family and Medical Leave (PFML) is a new benefit for qualifying Washington state employees that allows paid time off for their own or a family member’s medical condition, child bonding leave, and/or military leave. As with FMLA, Kaiser Permanente physicians will provide a medical certification for conditions considered medically necessary (up to 12 weeks a year). To see if you qualify for PFML and to create an account/submit your medical certification, go to the state PFML site.

Our FMLA/PFML process is now done electronically through your online health record. The patient or family member requesting FMLA/PFML certification will receive a signed, system-generated federal FMLA medical certification form either in person, by fax, or directly from the secure member site. Patients and family members applying for PFML will use the FMLA medical certification to apply directly to the state website. You do not need this form if you're adopting a child or becoming a foster parent, or for military-related events. You also don't need it to qualify for 12 weeks of paid leave to bond with your new baby when you or your partner give birth. (If you are the parent giving birth, you will need the form for the portion of your paid leave that is considered medical leave.)

How to submit paperwork

  1. Complete the electronic FMLA and PFML questionnaire through the member’s online account, or download and fill out our FMLA/PFML intake form for your own condition (PDF) or to care for your family member (PDF);  we do not accept employer FMLA or state PFML forms. Please note, the patient must be receiving care from a Kaiser Permanente clinician.
  2. If you would like to have the paperwork mailed, faxed, or picked up by a third party, you will need to complete a Release of information form (PDF). Note: members applying for PFML will need to create an account and upload certification directly to the state website; Kaiser Permanente is not able to fax requests directly.
  3. Print and submit/upload the completed form(s) through your secure online message center, by fax, or at your Kaiser Permanente medical center in person. Find a location near you.

FMLA/PFML requests can take up to 7 days to process. Delays in paperwork can occur if sections of the FMLA/PFML intake form are missing or incomplete, the required number of visits for the condition listed has not been met, or the number of available days off has been exhausted.

If you have questions, please contact the business office at the clinic in which you are being seen for the condition listed.

Note: Your employer's human resources team and/or third-party processing company or WA State's Employment Security Department for PFML requests is responsible for ultimate approval or rejection of your FMLA/PFML request. Kaiser Permanente provides a clinical review of your request, provider's signature, and release of FMLA medical certification form only.

More resources


Patient questionnaires for care visits

If you were asked to fill out a questionnaire before your appointment, you may look it up by department or specialty. Print, fill in your responses, and take to your visit.

All questionnaires are in PDF format.



Restrictions on the release of health care information

State and federal laws protect certain types of information in medical records. A specific written authorization by the patient or the patient's legally recognized representative might be required to release these types of information:

  • Drug and alcohol abuse treatment
  • Mental illness
  • Sexually transmitted diseases, including HIV/AIDS

Minor patients
Minor patients have the right to control certain types of healthcare information. They may be required to sign an authorization to release this information:

  • Sexually transmitted diseases including HIV (ages 14-17)
  • Mental health and addiction recovery services (ages 13-17)
  • Reproductive care (all minors)

Authorized personal representatives
A legally recognized representative is an individual that may act on behalf of a patient when a patient is not competent and cannot make his or her own health care treatment decisions. In most cases, the personal representative needs legal documentation to demonstrate the authority to sign for the patient. Examples of documentation include a Durable Power of Attorney for health care or letters of guardianship.


Other forms