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:
- Print and complete the Authorization to Use/Disclose Health Information Form. Do not forget to sign and date the form.
- Mail or fax it to the contact information listed below:
74B Centennial Loop, Ste 300
Eugene, OR 97401
Phone: (541) 686-3791
Fax: (541) 686-3795
- 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.