Skip to main content
advanced treatment for the skin
  • patient information

    patient
    information

Medical Records Release

If you require a copy of your medical records for either other physicians or for your personal use, you may download the form below. A signed copy of this form must be received in our Medical Records Department prior to releasing your records. Completed forms may be faxed to (541) 773-4643.

The charge for this service is $30.