Access Your Medical Records

Send us this form to request a copy of your own records for yourself. We will send them directly to you.

Access Your Own Medical Record (116.29 KB)

You can also use MyChart to view your medical record online»

MyChart available at Community Health Center primary care clinics, HIV Health Services Center, Student Health Centers and the STI Clinic. 

Release Records

Your medical records are private. Send us this form if you want us to release your medical records to another medical provider, or someone other than yourself.

Release of Information Form (84.97 KB)

Autorización para divulgación de información (Spanish) (86.01 KB)
信息披露授权书 (Chinese) (231.89 KB)
РАЗРЕШЕНИЕ НА ВЫДАЧУ ИНФОРМАЦИИ (Russian) (80.41 KB)
Ogolaanshaha Bixinta Macluumaad (Somali) (87.8 KB)
ỦY QUYỀN TIẾT LỘ THÔNG TIN (Vietnamese) (60.98 KB)

Mailing Address:
Health Information Services
619 NW 6th Ave, 9th Floor
Portland, Oregon 97209

Questions? Contact Us

503-988-3997