a stethoscope on a stack of books

How to Request Your Medical Records


At Proliance, we're committed to maintaining the privacy of your health information. Please feel free to review our full Privacy Practices.

Proliance Orthopedic Associates has partnered with Datavant to provide release of information services. Datavant will provide Medical Records and Billing Statements.


Please fax your medical records request to 425-656-5047, attn: Medical Records Request.

  • Please fax your medical records request to Datavant directly at 251-287-3949.

  • You may contact Datavant customer service at 800-367-1500 for a status of your request.

  • If you require balance verifications, please fax your request to our billing office at 425-251-5139.

  • As one of our patients, you may request a copy of your health information at any time.

How to Request your Records

  • Complete this ONLINE REQUEST FORM with direct submission to our release information vendor, Datavant.

  • If you have any questions about a pending request you have made, please feel free to call our Medical Records department at 425-656-5060.