Corvallis Clinic Medical Release Form

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Medical Record Release - The Corvallis Clinic

https://www.corvallisclinic.com/medical-record-release/

Authorization for Release of Medical Records and Medical Information. This form is used to: Obtain a copy of your medical records; Authorize medical records to be released to …

AUTHORIZATION TO RELEASE MEDICAL RECORDS AND …

https://www.corvallisclinic.com/wp-content/uploads/Authorization-to-Release-Medical-Records-Information-FINAL.pdf

Please mail or fax completed form to: Health Information/Release of Records, 444 NW Elks Drive, Corvallis, OR 97330 Phone: 541-768-2368 | Fax: 541-753-1966 | …

AUTHORIZATION FOR VERBAL RELEASE OF MEDICAL …

https://www.corvallisclinic.com/wp-content/uploads/Authorization-for-Verbal-Release-of-Medical-Information-FINAL.pdf

Please mail or fax completed form to: Health Information/Release of Records, 444 NW Elks Drive, Corvallis, OR 97330 Phone: 541-768-2368 | Fax: 541-753-1966 | …

Resources - The Corvallis Clinic

https://www.corvallisclinic.com/classes-resources/

Medical Forms. To better serve you, minimize waiting time at check-in, and provide for accurate information, below are links to a number of useful forms and questionnaires. …

Behavioral Health Forms - The Corvallis Clinic

https://www.corvallisclinic.com/behavioral-health/behavioral-health-forms/

Behavioral Health Forms - The Corvallis Clinic The Corvallis Clinic Physicians & Surgeons Patient Portal Primary Care Specialty Care Immediate/QuickCare …

Request Your Medical Record - Samaritan Health Services

https://www.samhealth.org/patient-visitors/request-medical-records

Attn: Release of Information PO Box 2728 Corvallis, OR 97339 Fax: 541-768-9363 Submit Your Request in Person You may drop off your request or letter at the Health Information …

Behavioral Health Department Release of ... - The Corvallis …

https://www.corvallisclinic.com/wp-content/uploads/BH-ROI.pdf

In order for your provider or our Department to release information to another party, we need to obtain your written permission. The attached form is used for this purpose. …

CDL Exam Forms - The Corvallis Clinic

https://www.corvallisclinic.com/occupational-medicine/cdl-exam-forms/

CDL Exam Forms. All commercial drivers whose current medical certificate expires on or after May 21, 2014, at the expiration of that certificate must be examined by a medical …

Forms and Documents | Samaritan Health Services

https://www.samhealth.org/patient-visitors/visiting-samaritan-locations/forms-and-documents

Home Patient & Visitors Visiting Samaritan Locations Forms and Documents Back to Visiting Samaritan Locations Print Forms & Documents For Your Convenience Prior to …

Appointment Policies / Forms - Corvallis Pain Management

https://www.corvallispainmanagement.com/contents/appointment-policies-forms

In order to receive your medical records please select the Release of Information Form under CPM Forms and fill out the applicable information. You may fax this form to 541 …

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