YOUR RECORDS

• To view your medical or billing records, login to your MyHealth account.
• If you do not have a MyHealth account, sign up here. 

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

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

Note: If someone other than the patients sign this form, the requester must include proof that they are legally allowed to sign for and make health care choices for the patient.

• Request for Amendment of Protected Health Information form

Hospitals do not issue birth certificates. Learn how to request these in Oregon and Washington.

Mail to:
Legacy Health 
Release of Information Department 
P.O. Box 2868 
Portland, OR 97208 

Fax to:
855-892-7124

Ask for the Release of Information Department.

Call: 503-413-2762