Records Requests & Releasing Client Information
To Request Medical Records
Please call or fax our Clinical Records Department between 8am – 5pm Monday through Friday.
Phone: 360-373-5031; Fax: 360-373-0917
Except for requests by a client for their own records, KMHS cannot release client records to any party, including medical providers, without a signed KMHS Authorization to Release-Obtain Information Form (ROI) on file.
To Allow KMHS to Release Your Records
To permit KMHS to share your medical records, clients must complete and submit an Authorization to Release-Obtain Information Form (ROI).
Completing an ROI is not a request for records. It simply allows us to release your records if a request is received.
- Click here to download & print the ROI – en Español aqui.
- Complete and sign the form. This may be done by the client or their legal guardian.
- Mail or drop off the signed form at the addresses below.
Mailing Address:
Kitsap Mental Health Services
Attn: Records Department
5455 Almira Dr. NE
Bremerton, WA 98312
Drop-off Locations:
KMHS Almira Campus (same as mailing address)
KMHS North Kitsap
1050 NE Hostmark St., Suite 250
Poulsbo, WA 98370
KMHS South Kitsap
1341 Bay St, Suite 110
Port Orchard, WA 98366
