

VECTOR Health & Wellness is closed, effective 11/26/25.
To reach us for questions about medical records,
please email info@vectorhealthnwa.com or
leave a voicemail at 479-316-6565.
Our forwarding address is:
PO Box 9301
Fayetteville, AR 72703
Resources
Youth Gender-Affirming HRT Clinics
Local, Regional and National Resources for LGBTQ+ People
Release of Information
Print this form and complete ONLY THE HIGHLIGHTED SECTIONS so VECTOR can SEND medical records TO another provider. Please write legibly and only complete the highlighted portions. Once you have completed the document, you can email or mail it to the forwarding information above. Once received, we may reach out to verify/clarify any necessary information.
Medical Records Policy/Consent
For patients wanting to pay for copies of their own medical records.
