38505 Brooten Rd,

 

Suite A, PO Box 655,

 

Pacific City, OR  97135

 

For Appointments:

 

503-965-6555

  

Fax: 503-965-6800

Bayshore Family

 

Medicine

·          Our medical records department can be reached at 503-965-6555 to request copies of medical records.  Records may be transferred to another physician’s office or hospital as a courtesy.  As a HIPAA requirement, we must have a signed records release form before we can release patient records.  You can print the form you need out by clicking below.  We cannot by law re-disclose records from another provider which we have received and are now part of your chart. Please allow 30 days for processing. 

Records Request Form

 

 

 

 
 

 

Related Topics:

Patient Education Handouts

How can I request copies of my medical records?

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