Authorization to Release Patient Health Records

Requesting Medical Records

OPTION 1
by electronic request via HealthMark Group
Waianae Coast Comprehensive Health Center has partnered with HealthMark Group to ensure accurate and timely completion of requests for all medical and billing records.

  • Requests may be submitted electronically through HealthMark’s Request Manager: https://requestmanager.healthmark-group.com
  • Once logged in, select "Submit Request" from the menu options and enter all required fields to submit a valid authorization.
  • Please allow 2-3 days for processing. A copy of your record may be downloaded directly from Request Manager.
  • Please log in to Request Manager for status updates or to chat with support. If you need additional assistance, you may contact HealthMark at 800-659-4035 or status@healthmark-group.com

OPTION 2
by electronic request via WCCHC My Patient Portal
My Patient Portal is an easy, secure way to manage your health at your convenience. Patients eligible for Patient Portal must have received care at a WCCHC facility.

  • Send secure message to the Medical Records Department via My Patient Portal.
  • Records will be sent via the Patient Portal or depending on the file size may be sent via USPS.
  • Need an enrollment token? Call the Medical Records Department at 808-697-3410 Monday through Friday, 8am to 4pm

OPTION 3
Requests for paper copies or records that you would like sent directly to your Physician

  1. Download the Authorization Release Form (PDF) and print it.
  2. Fill in the form (if going to a Physician's office, please include Fax # for Physician)
  3. Fax the completed form to (808) 697-3681 ATTN: WCCHC – Medical Records Department
    Or mail the form to:
    WCCHC – Medical Records Department
    86-260 Farrington Hwy
    Waianae, HI 96792

OPTION 4
Requests for your records by phone
We have provided an alternate way that you can retrieve your medical records. You may request records by calling the Medical Records Department at 808-697-3410. Records can be sent via encrypted email or depending on the file size may be sent USPS.

To request your records by phone you will be required to answer questions to confirm your identity. Please be prepared to provide:

  • Name, Date of Birth, Address
  • Current Driver's License OR
  • Last 4 of SSN
  • Last Visit Date, Provider Seen, Reason for Visit
  • Any other reliable demographics collected

If you need further assistance please call the Medical Records Department at 808-697-3410 from Monday through Friday, 8am - 4pm. To send a FAX, the number is 808-697-3681

Email: MedicalRecords@wcchc.com