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Medical Records Release

If you require a copy of your medical record for either other physicians or for your personal use, you may download the form below. A signed copy of this form must be received in our Medical Records Department prior to releasing your records. Completed forms may be faxed to (541) 773-4643.

Medical Records Release for Other Physicians

There is no charge to release your medical records to other physicians.

Medical Records Release for Personal Use

The charge for this service is $20.