Looking for an incident report? In accordance with the Washington State Public Records Act RCW 42.56, the VRFA allows for the release, inspection, or copying of records unless specifically exempted by law.

To create a new records request, continue to the login page below:

The VRFA serves the Washington State communities of Auburn, Algona, and Pacific. Please remember to attach a copy of the patient’s government-issued ID when completing any medical authorization release form(s).

Records Management Coordinator
Gwen.Streeter@vrfa.org
Office Phone: (253) 288-5800
Fax: (253) 288-5900

Current Records Fees

Authorization for Release of Medical Records

Return this form with a copy of a valid, government-issued ID of the patient or the requester will receive redacted copies.
DOWNLOAD FORM


Authorization to Use and Disclose Protected Health Information (PHI) of a Minor

Return this form with a copy of a valid, government-issued ID of the person whose signature appears on this document.
DOWNLOAD FORM


Authorization for Release of Records of a Deceased Person

If the patient is deceased, then the request must be accompanied by the ID of the person who is legally authorized to receive the records pursuant to RCW 70.02.140 & 7.70.065(1)(a), or by court order.
DOWNLOAD FORM

Request Records via Mail


If you are unable to electronically request your records, you may also mail-in your request directly to our Records Department.

Print the following form: Records Request Form

Valley Regional Fire Authority
Attn: Records
1101 D St NE
Auburn, WA 98002