Ohsu medical records 2026

1. Click ‘Get Form’ to open the ohsu medical records in the editor.
2. Begin by filling in your personal information, including ACCOUNT NO., MED. REC. NO., NAME, and BIRTHDATE in the designated fields.
3. In the 'Authorization to Use and Disclose Protected Health Information' section, enter the name of the person or entity disclosing your information.
4. Provide the address details of the disclosing entity, including City, State, and Zip Code.
5. Specify what health information you wish to disclose by checking the appropriate boxes for Physician reports, X-rays, Labs, etc.
6. Indicate where this information should be sent by filling out the recipient's name and address details.
7. Describe the purpose of disclosure by selecting from options like Continued Care or Legal.
8. If applicable, initial next to any sensitive information types that may require additional consent.
9. Finally, sign and date at the bottom of the form to complete your authorization.

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