Patient Forms

Medical Records Request

To request a copy of your medical records, please download the Records Request Form below.  Once received, it can take up to 21 business days to be processed.

Mail the completed form to:

1100 Wheaton Way, Suite F
Bremerton, WA 98310

Mail the completed form to:

hello@themanetteclinic.sprucecare.com

Fax the completed form to:

844-602-4646

Member Cancellation

To cancel your membership at The Manette Clinic, please download the Cancellation Form below.

Mail the completed form to:

1100 Wheaton Way, Suite F
Bremerton, WA 98310

Mail the completed form to:

hello@themanetteclinic.sprucecare.com

Fax the completed form to:

844-602-4646

Office Hours

Bremerton
Monday - Friday:
8am-5pm, closed for lunch from 1-2pm
Saturday & Sunday:
closed

Poulsbo
Tuesday - Thursday:
8m-5pm, closed for lunch from 1-2pm
Friday, Saturday, Sunday & Monday:
closed

Locations

1100 Wheaton Way
Suite F & G
Bremerton, WA 98310

19500 10th Ave NE
Suite #100
Poulsbo, WA 98370

Contact

Phone: 360-621-2696
Fax: 844-602-4646