Note: Records requests are processed by our third party vendor, MRO Corp.
Your Records
How to get medical and billing records
About Your Care
Online:
For patients (or patient reprensentatives as defined by HIPAA) only
By Mail or Fax:
Requesting medical or billing records requests for yourself
First, please read these instructions. Then complete the request form below.
- English: Patient Request for Medical Records
- Español (Spanish): Solicitud del Paciente de Informes Médicos
- Русский (Russian): Запрос пациента на предоставление медицинской документации
Requesting medical or billing records requests of others (third-party requests)
First, please read these instructions. Then the patient must sign the below completed form.
- Authorization to Use and/or Disclose Protected Health Information.
Example: Authorization to Use and/or Disclose Protected Health Information
Request for amendment of Protected Health Information
Where to send completed forms
Mail to:
Legacy Health
Release of Information Department
P.O. Box 2868
Portland, OR 97208
Fax to:
855-892-7124
Legacy Health
Release of Information Department
P.O. Box 2868
Portland, OR 97208
Fax to:
855-892-7124
Birth certificates
Hospitals do not issue birth certificates. Learn how to request these in Oregon and Washington.