Skip to main content

Island Health

Pay a Bill
About
Community
Contact Us
Careers
Foundation

Search for:

Patient Portal

Patients
- I'm a Patient
  Request an Appointment
  
  Pay Bill
  
  Billing and Insurance
  
  Medical Records
  
  Virtual Visits
  
  Patient Portal
  
  DAISY Award for Extraordinary Nurses
  Become a Patient
  Patient & Visitor Guide
  
  Why Choose Island Health
  
  Accepted Insurance
  
  Find Your Care Team
  
  Maps & Directions
  Patient Resources
  Classes & Screenings
  
  Support Groups & Resources
  
  Patient Rights
  
  Advance Directives
  
  Health Insurance Counseling
  
  Clinical Ethics Committee
  Read the Latest
  From Island Health
  
  Healthy Snack Swaps
  Read more
Services
- Medical Services
  In Need of Immediate Care?
  Non-Medical Services
  Please call 911 if you are experiencing a life-threatening medical emergency.
Providers
- Search Providers
  Specialty
  
  Clinic
  OR
  
  Browse all providers
Clinics
- Primary Care Clinics
  Specialty Care Clinics
  Therapy Clinics

Revocation_of_Authorization_to_Disclose_Form_-_Spanish

Share this Post

Published on June 21, 2021

Resources

Virtual Visits
About Us
Careers
Classes & Events
Find a Provider
Maps & Directions

Employee Portal
Newsroom
Patient Portal
Pay a Bill
Public Documents
Sitemap
Price Transparency

Information

Language Assistance Services
Nondiscrimination Policy and Accessibility Rights
Notice of Nondiscrimination
Privacy Policy
Website Privacy Policy

Contact

360.299.1300 Contact Form

Connect

Patients
I'm a Patient
Become a Patient
Patient Resources
Hospital Services
Primary Care Clinics
Specialty Care Clinics
Nutrition & Therapy
Immediate Care
Please Call 911 If You Are Experiencing A Life-Threatening Medical Emergency
Resources
- Pay a Bill
- About
- Community
- Contact Us
- Careers
- Foundation

Find Your Care Team