Medical Records and Imaging

You have a right under federal law (HIPPA) to request a copy of your health care/medical records.

How to request a copy of your health information

To request a copy of your medical records, please follow these instructions:

  1. Print and complete the Authorization to Use/Disclose Health Information Form.  Be sure to specify if you are requesting a CD of the x-ray, MRI or CT imaging completed at NeuroSpine Institute.  Do not forget to sign and date the form.

  2. Mail or fax it to the contact information listed below:
    NeuroSpine Institute
    74B Centennial Loop, Ste 100
    Eugene, OR  97401
    Phone: (541) 686-3791
    Fax: (541) 686-3795


  3. You may also sign a medical records request at the time of your appointment or come by the office to complete the necessary paperwork.  Although we cannot process e-mail or telephone requests, we will be happy to mail or fax the Authorization Form to you so that we can complete your request according to HIPPA guidelines.

Upon request of the completed form, we will either promptly process your request or contact you if further information is needed.  Please be sure to include a phone number where you can be reached.  If a fee is assessed for processing the requested records, you will be called in advance.