Request release records for 2026

1. Click ‘Get Form’ to open the request release records in the editor.
2. Begin by filling in your name and address at the top of the form. This information is essential for identifying you as the requester.
3. Next, provide the worker's information, including their name, insurer claim number, and date of injury. Ensure accuracy to avoid delays.
4. In the authorization section, sign and date the form to grant permission for medical providers to release relevant records. This step is crucial for compliance with Oregon regulations.
5. List any claimed conditions specifically in the designated area. Be detailed to ensure all necessary information is included.
6. Finally, indicate where you would like the medical records sent by providing the requester’s name, attention line, address, and phone number.

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