Submit Pediatric Documents Online

Thank you for choosing Virginia Mason for your medical care/your child’s medical care. To help share information with your care team, electronic documents can be submitted online.

This form is intended for use for patients who do not yet have a MyVirginiaMason patient portal account or cannot set one up due to age restrictions (ages 13-17 years of age).

This can be used for submission of:

  • To share images/documents with your provider (for example: images for telehealth visits, school medication forms)
  • To share completed Well Child Forms for your upcoming visit (Telehealth or In Person)
  • To submit Consent paperwork for setting up a MyVirginiaMason patient portal account for your child (0-12 years old)

To ensure the accuracy of your medical records, only send messages, files and requests related to your medical care/your child’s medical care. Please only submit attachments that your providers and health care team have requested.

Please be aware that in some circumstances your provider may not be able to review all attached files or make a diagnosis based on submitted images.

Please complete this online form to submit your pediatric documentation.