Patients, or their authorized representatives, may request copies of medical records for themselves or to have the records sent to others – such as a current care providers, insurance companies, etc.
Medical records contain discharge summaries, clinical assessments, medication records, medical and physical histories, medication orders, treatment care plans, and other information. We keep records for patients of Oregon State Hospital and Blue Mountain Recovery Center.
To request records sent to:
Note: if using the Chrome web browser, you may need to download the file and open it with
Adobe Acrobat Reader.
The links will take you to a database. In the search field, type in the form number you need (2093 or 2099). From there, select the language in which you want the form to appear.
Send the completed forms (all pages) to:
- Oregon State Hospital
Health Information Department
2600 Center St. NE.
Salem, OR 97301-2682
- 503-945-9855 Attn: Health Information Department
Depending on the volume of medical records you request, Oregon State Hospital may charge you a fee for copies. Staff do their best to process your request within 10 business days of receiving it, if not sooner.
If you have questions about the form or the status of your request, please contact the Health Information Department at 503-945-2976 or