Release of Information
Rights to Receive Records
- A patient, or his/her legal representative, may inspect and/or obtain a copy, or have copies of medical records sent to another facility.
- Tuality Healthcare requires a completed and signed written request and authorization for release of health information form before releasing any documents to anyone, including the patient.
Pertinent Information
- We ask that you specify what components of your medical records you wish to obtain. Often, the discharge summary, operative report, history and physical contain relevant information to suit your needs.
Sensitive Information
- Requests must be specifically signed if requesting/authorizing the following information:
- HIV test and test results and related information including high-risk behavior documentation.
- Drug/Alcohol diagnosis, treatment, or referral information.
- Mental health treatment information.
- Other (specify).
- Authorization to Obtain & Disclose Medical Records [pdf]
- Autorización Para Obtener y Revelar Información Médica [pdf]
Sign & Date
- The form must be completed, dated and signed.
To Submit your request once your form is completed:
- Mail form to:
Tuality Community Hospital – ROI
335 SE 8th Avenue
Hillsboro, OR 97123
- Fax form to:
503-681-1947
Attn: Release of Information
- Please bring form to:
Medical Records Department
Release of Information Office
335 SE 8th Avenue
Hillsboro, OR 97123
Please bring the completed form along with your current photo ID.
- Hours:
Monday – Friday, 8:00 a.m. – 4:30 p.m.
Closed weekends and national holidays.
- Contact Telephone Number:
Release of Information: 503-681-1195
Reference
Tuality’s Online Health Management Tool
You may view your health information online through Tuality’s Online Health Management Tool, your Tuality portal into your electronic medical record.
Billing
If you have questions regarding your billing statement, please contact our Patient Accounting department, located on the 2nd floor of the Tuality Health Education Center.
Mailing address:
P.O. Box 548
Hillsboro, OR 97123
Phone: 503-681-1000
Fax: 503-681-1796
Diagnostic Imaging
To obtain copies of radiology films or CDs, contact our Diagnostic Imaging Department.
Film Library Phone: 503-681-1100, Option 2.
Birth Certificates
To receive a certified copy of a birth certificate, please contact:
Oregon Vital Records
Department of Human Services
Sending a request by mail:
Oregon Vital Records
PO Box 14050
Portland, OR 97293-0050
Ordering by telephone:
Call 971-673-1190, Monday through Friday, 8:00 a.m. to 4:30 p.m., PST.
Frequently Asked Questions
Will you mail the copies or will I have to pick them up?
We can mail the copies to the address you specify on the Authorization form, or you can make arrangements to pick them up during our hours of operation.
Will you fax medical information?
We will only fax medical records to another healthcare provider or facility for continuing medical care.
Are there copy fees for obtaining medical records?
The following are the rates for copying medical records for requests in Oregon:
|
Attorneys, Patients, Copy Services, Subpoenas, |
|||
|
Pages |
Charges per |
Charges per microfiche page |
Clerical fee |
|
< 10 |
$0.00 |
$0.00 |
$30.00 |
|
> 10 |
$0.50 |
$0.50 |
$30.00 |
|
> 50 |
$0.25 |
$0.25 |
$30.00 |
|
Patient Access |
|||
|
Pages |
Charges per |
Charges per microfiche page |
Clerical fee |
|
< 10 |
$0.00 |
$0.00 |
$0.00 |
|
> 10 |
$0.50 |
$0.50 |
$0.00 |
|
> 50 |
$0.25 |
$0.25 |
$0.00 |
|
Disability |
|||
|
Pages |
Charges per |
Charges per microfiche page |
Clerical fee |
|
< 10 |
No Charge |
No Charge |
$18.00 |
|
> 10 |
$0.25 |
$0.25 |
$18.00 |
|
> 18 |
Not to exceed $22.50 |
||
|
Worker’s Comp |
|||
|
Pages |
Charges per |
Charges per microfiche page |
Clerical fee |
|
1 |
$0.00 |
$0.50 |
$10.00 |
|
> 1 |
$0.50 |
$0.50 |
$10.00 |
|
Certification Fee: $2.00 |
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** A bonus charge of $5.00 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.
