Oregon State Hospital patient medical records
Oregon State Hospital 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 only keep records for patients of Oregon State Hospital and Blue Mountain Recovery Center.
To request records sent to:
-
Yourself —
Request for Access to Records (MSC
2093)
-
Someone else —
Authorization for Use and Disclosure of Information (MSC
2099)
If the link does not load or takes you to the OHA/ODHS forms server, 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:
- Mail
- Oregon State Hospital
Health Information Department
2600 Center St. NE.
Salem, OR 97301-2682
- Fax
- 503-945-9855 Attn: Health Information Department
- Email
-
OSH.RecordsRequest@odhsoha.oregon.gov
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
OSH.RecordsRequest@odhsoha.oregon.gov.