Oregon Medical Release Form

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Oregon.gov : State of Oregon

https://www.oregon.gov/doc/Forms/medical-records-release-form.pdf

Created Date: 3/1/2019 2:24:29 PM

Oregon Medical Board : Patient Records - State of Oregon

https://www.oregon.gov/omb/Topics-of-Interest/Pages/Patient-Records.aspx

Upon written request, you must make a copy of the medical record available to the patient. You should comply with these requests within a reasonable time, not to exceed 30 days. …

Oregon Medical Board : Forms : State of Oregon

https://www.oregon.gov/OMB/pages/forms.aspx

Oregon Medical Board 1500 SW 1st Ave., Suite 620 Portland, OR 97201-5847 Hours: 8 a.m. - 5 p.m. Closed: 12 p.m. - 1 p.m. Call Center: 9 a.m. - 3 p.m.

Oregon Health Authority : OHP Forms and Publications : …

https://www.oregon.gov/oha/HSD/OHP/Pages/Forms.aspx

Health Systems Oregon Health Plan OHP Forms and Publications OHP Forms and Publications Find an Oregon Health Plan (OHP) Form Use the search field to find forms …

Medical Records Release Authorization …

https://eforms.com/release/medical-hipaa/

Home » Release » Medical Medical Records Release Authorization Form | HIPAA Create a high quality document online now! Washington Create Document …

Department of Corrections : Medical Records Requests

https://www.oregon.gov/doc/research-and-requests/Pages/Medical-Records-Requests.aspx

Be sure to follow all instructions on the form, including providing your initials and signature before sending. Medical Records Release Form Submit the Form Send the form by …

Request Your Medical Record - Samaritan Health Services

https://www.samhealth.org/patient-visitors/request-medical-records

Attn: Release of Information PO Box 2728 Corvallis, OR 97339 Fax: 541-768-9363 Submit Your Request in Person You may drop off your request or letter at the Health Information …

Request for Release of Medical Records for Oregon …

https://wcd.oregon.gov/WCDForms/2476.doc

Request for Release of Medical Records for Oregon Workers’ Compensation ClaimTo: Custodian of medical recordsWorker informationName:Name: Address: Insurer claim …

Oregon Department of Transportation : Forms Home : …

https://www.oregon.gov/ODOT/DMV/Pages/form/index.aspx

Oregon Traffic Accident and Insurance Report; Vehicle Bill of Sale; Application for Title and Registration; Custom Plate Application; Order Your Own Record; Disabled Person …

OSAA - Forms - Oregon School Activities Association

https://www.osaa.org/governance/forms

Health, Safety, & Physical Forms » Concussion - Private School Informed Consent » Medical Release - Return to Learn Medical Release » Medical Release - Return to …

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