45 CFR § 164.524 & § 164.508 HIPAA Compliant
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WA County Subpoena, Coroner & EMS Authority

Pierce & Spokane Counties, WA Medical Record Subpoenas, Coroner Autopsy & EMS Run Sheet Retrieval

Complete guide to medical record subpoenas in Pierce County Superior Court (Tacoma) & Spokane County Superior Court, autopsy/toxicology retrieval from Pierce County Medical Examiner & Spokane County Medical Examiner, 911 ambulance run sheets from Tacoma Fire EMS & AMR Spokane, and hospital HIM retrieval across Pierce & Spokane Counties, Washington under RCW 70.02.010(38), RCW 70.02.080 & WAC 246-08-400.

Verified County-Level Legal & Forensic Authorities

Pierce & Spokane Counties, Washington Subpoena, Coroner & EMS Matrix

Trial Court Civil Subpoena Venue
Pierce County Superior Court (Tacoma) & Spokane County Superior Court
Medical Examiner / Coroner Office
Pierce County Medical Examiner & Spokane County Medical Examiner
County 911 EMS & Fire-Rescue Dispatch
Tacoma Fire EMS & AMR Spokane
Governing Statute & Turnaround Window
RCW 70.02.010(38), RCW 70.02.080 & WAC 246-08-400 • 15 working days after receipt of written request under RCW 70.02.080(1)!
Post-Ciox v. Azar Statutory Copying Fee Cap (WA)
Biennial CPI-adjusted schedule under WAC 246-08-400 (~$28 clerical fee + ~$1.24/pg pgs 1–30, ~$0.94/pg 31+ for third parties). 1 FREE copy for Social Security benefits appeals under RCW 70.02.030!

County-Level Record Retrieval in Pierce & Spokane Counties, WA

While clinical hospital charts follow state-wide HIPAA and RCW 70.02.010(38), RCW 70.02.080 & WAC 246-08-400 rules, three critical litigation records in Pierce & Spokane Counties must be retrieved directly from county-level authorities:

County AuthorityDesignated Agency in Pierce & Spokane CountiesDeliverable & Authorization Rule
1. Forensic Autopsy & ToxicologyPierce County Medical Examiner & Spokane County Medical ExaminerFinal Autopsy Protocol, Forensic Toxicology Report, Investigator Narrative & Scene Photos (Requires Next-of-Kin / Estate Executor Release or Subpoena)
2. 911 Ambulance & Paramedic PCRsTacoma Fire EMS & AMR SpokaneNEMSIS Prehospital Care Reports (PCRs), ECG Rhythm Strips, 911 CAD Dispatch Logs & EMS Itemized Transport Billing
3. Civil Subpoena Duces TecumPierce County Superior Court (Tacoma) & Spokane County Superior CourtCertified Hospital & Physician Charts with Custodian of Records Affidavit under Wash. ER 902(11) & RCW 5.45.020 Business Records Certification
Tier 3 Medical Center Cities in Pierce & Spokane Counties

Major Hospital Cities & Trauma Centers in Pierce & Spokane Counties

Select a city in Pierce & Spokane Counties to view its specific hospital HIM desks, UB-04 billing offices, PACS radiology film libraries, and ROI vendor assignments:

Primary Hospitals & Trauma Centers Serving Pierce & Spokane Counties:

  • MultiCare Tacoma General Hospital (Level II Trauma)
  • St. Joseph Medical Center ( Virginia Mason Franciscan Health — Level II Trauma)
  • Providence Sacred Heart Medical Center (Spokane — Level II Trauma)
  • Madigan Army Medical Center (JBLM — DoD Level II Trauma)