Access Your Medical Records
Send us this form to request a copy of your own records for yourself. We will send them directly to you.
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Access Your Own Medical Record
(116.29 KB)
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请求访问本人受保护健康信息 (Chinese)
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MyChart
You can also use MyChart to view your medical record online»
MyChart is available to patients of these clinics:
- Community Health Center primary care clinics
- HIV Health Services Center
- Student Health Centers
- STI Clinic
Release Records
Your medical records are private. Send us this form if you want us to release your medical records to another medical provider, or someone other than yourself.
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Release of Information Form
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信息披露授权书 (Chinese)
(231.89 KB)
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Разрешение на выдачу информации (Russian)
(80.41 KB)
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Ogolaanshaha Bixinta Macluumaad (Somali)
(87.8 KB)
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Ủy quyền tiết lộ thông tin (Vietnamese)
(60.98 KB)
Mailing Address:
Health Information Services
619 NW 6th Ave, 9th Floor
Portland, Oregon 97209
Questions? Contact Us
503-988-3997