top of page

CORVALLIS MEDICAL RECORDS REQUEST

​

Please complete the online form for medical record request by clicking on the link below. 

​

MEDICAL RECORDS REQUEST LINK


We will do our best to process your request before our office closes March 25, 2026, but turnaround time will vary and may be up to 30 days.


Please note - medical records sent directly to another provider or other healthcare facilities by fax do not incur a processing fee, but records printed and provided to patients will incur a processing fee in accordance with Oregon Administrative Rules. 
"

A reasonable cost may be imposed for the costs incurred in complying with the patient’s request for health information. These costs may include:

 

(a) No more than $30 for copying 10 or fewer pages of written material, and no more than 50 cents per page for pages 11 through 50, and no more than 25 cents for each additional page;
 

(b) A bonus charge of $5 if the request for records is processed and the records are mailed by first class mail to the requester within seven business days after the date of the request;
 

(c) Postage costs to mail copies of the requested records;
 

(d) Actual costs of preparing an explanation or summary of the health information, if such information is requested by the patient

​

What is your SMS Privacy Policy?​

​

By providing my phone number to Ambassador Health Alliance (AHA), I agree and acknowledge that AHA may send text messages to my wireless phone number for any purpose. Message and data rates may apply. Message frequency will vary, and you will be able to Opt-out by replying “STOP”.  No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.

Privacy and policy:No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.

bottom of page