Skip to main content
Menu
Search
Find a Provider
Services
Expand Subnav
Behavioral Health
Community Health
Dental
Medical
Pediatrics
Pharmacy
X-Ray & Lab
Patients
Expand Subnav
Eligibility & Registering
Levels of Care
Documents & Forms
Patient Rights & Responsibilities
Patient Testimonials
Purchased Referred Care
Puyallup Tribal Member Services
News
Residency Program
Expand Subnav
Curriculum
Benefits
Residents
Faculty
Graduates
Application Process
Contact Our Residency Program
About Us
Expand Subnav
Hours & Location
Message From Our Executive Director
Accreditations
History
Mission & Values
Contact Us
Employment
Expand Subnav
Job Listings
Culture
Benefits
Contact Human Resources
Contact Us
Patient Portal
Schedule Appointment
Search
Documents & Forms
Patients
Expand Sidenav
Eligibility & Registering
Levels of Care
Documents & Forms
Patient Rights & Responsibilities
Patient Testimonials
Purchased Referred Care
Puyallup Tribal Member Services
Documents & Forms
Release of Information
If you are a patient and need to authorize the release of specific medical record information, please complete this form and return to PTHA.
PTHA Release of Information
Subrogation Agreement
Puyallup Tribal Health Authority is a payor of last resort
Subrogation Form
Search
Search
Close
