MEDICAL RECORDS REQUEST REQUEST AN APPOINTMENT Start Your Story MEDICAL RECORDS / RETENTION & REQUESTS Proliance Surgeons/OPA values your business and respects your rights to privacy. Each employee and service provider has signed a confidentiality agreement. You will be asked to give private information including name, address, date of birth and social security number. We will verify insurance information at each visit. Many insurance companies are moving away from using your social security number on your cards to be safer. However, you should be aware that information is still required on our billings and will be requested. We can not serve you if you do not provide this information. In addition Proliance/OPA follows all current HIPAA regulations to assure that your private medical information remains confidential. MEDICAL RECORDS REQUEST FORM MEDICAL RECORDS RETENTION We retain your medical records for a 7-year period. Only current patient records are stored in our offices due to space constraints. All other records are retained at off-site storage facilities. We make every effort to have your record available for your visit. If you are seen on an emergent basis, your previous medical record will be combined with your current record after the visit. REQUESTING YOUR RECORDS You or your representatives may request records. Your medical records will only be released with your written approval. This requires a form to be filled out with a current signature and date indicated. Please note there may be fees associated with these requests. To request your medical records please fax your completed Medical Records Request Form to 206-622-1644. If you have any questions please call our team at 206-694-6630. FOR LEGAL AND 3RD PARTY REQUESTS PLEASE SEND REQUEST TO PROLIANCE SURGEONS AT: Email: medicalrecords@proliancesurgeons.com Fax: 206-257-3137 Phone: 206-838-2599 601 Broadway Suites 600 & 700 Seattle, WA 98122 TEL 206.386.2600 FAX 206.622.1644 ABOUT OPA Orthopedic Physician Associates is the Pacific Northwest's premier provider of orthopedic and musculoskeletal services. Learn More A SERVICE OF PROLIANCE SURGEONS RECENT POSTS Seattle Met Announces “Top Docs 2021” October 12, 2021 Seattle Magazine Announces “Top Docs 2021” July 12, 2021 © 2019 - OPA ORTHOPEDIC PHYSICIAN ASSOCIATES CAREERS LOCATIONS LEGAL NOTICES & POLICIES