Make a New Request
Please note: All information entered in the request form below will become a public record and may be included in our online list of public record requests.
Release of Confidential Information about an Individual
If you are requesting the release of an individual's confidential records, such as medical or employment records, OHA must receive a signed authorization from the individual.
Download
authorization form
Note: If you have issues opening this form, try to open it with a different browser. You can also download the form and open it with the Adobe Acrobat Reader.
Contact Us
If you need assistance with a public records request, including needing assistance to fill out this form or access to information in another language, please contact us.
oha.publicrecords@odhsoha.oregon.gov
Keely West, JD
Central Operations Manager
503-269-8985
Jeanne Windham
Public Records Coordinator
971-345-1688