Normally, Medical Records are requested in person, however, because visitor restrictions are now in place at this hospital, you can request medical records by downloading this Release of Information Form form in English or Spanish, specify how you would like your records sent, please make a copy of your i.d. front and back and send with the ROI form by one of these options; Faxing to 541 741 7219, Mail to McKenzie-Willamette Medical Center Attn: Medical Records 1460 G Street Springfield, OR 97477, OR email us at [email protected].
- English Release of Information Form (PDF Download)
- Spanish Release of Information Form (PDF Download)
- Release of Information Payment Information (PDF Download)
**Records requested will not be denied based on a patient’s ability to pay.