How to view or request your records
We make it easy to view your medical chart by providing access to your medical record through our patient portal. If you have any questions about signing into the patient portal, please contact us.
To request a copy of your medical records, please follow these instructions:
- Complete the Authorization to Use/Disclose Health Information Form on our website.
- If you don’t complete the authorization form on the website, you may download, print, and complete the form, then mail or fax it to the contact information below.
- Be sure to specify if you are requesting your imaging results (X-ray, MRI or CT).
- Please remember to sign and date the form.
Another option is to 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 HIPAA guidelines. Upon request of the completed form, we will either promptly process your request or contact you if more 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 notified in advance. Medical records are available to patients at no charge for the first copy. Additional copies are $18.00 for the first page and $0.25/per page thereafter, not to exceed $22.50.
NeuroSpine
74B Centennial Loop, Ste 300
Eugene, OR 97401
Phone: 541-686-3791
Fax: 541-686-3795
