Your Medical Records

Your medical records are important to you. We want to make it as simple as possible to get them, but we're required by law to obtain certain written information. Please follow the steps below.

To request a copy of your birth certificate

Birth certificates are not issued by the hospital, but by the state government:
 

• For Oregon births 
   
• For Washington births
   
   

To have copies of your Legacy medical or billing records mailed to you personally

If you're the patient or the parent/legal guardian of a minor patient, complete this Patient Access Form form and mail or fax it to the Release of Information Department at the Legacy facility where you received your services. (Information for Legacy Medical Centers is below; for primary care clinics please contact the clinic directly.) 

• Patient Access Form  
   
• Instructions for completing Patient Access Form
   
   

To have copies sent to a non-Legacy health care provider, insurance company, etc.

Complete this Authorization form and mail or fax it  to the Legacy facility where you received your services. (Information for Legacy Medical Centers is below; for primary care clinics please contact the clinic directly.)
 
If you're asking for the records of another person you need to include proof that you represent them, so be sure to read the instructions carefully.  

• Authorization to Use and/or Disclose Protected Health Information
   
• Instructions for completing the Authorization to Use and/or Disclose Protected Health Information Form
   
   

Release of Information Departments at Legacy Medical Centers

• Legacy Emanuel and The Children's Hospital at Legacy Emanuel
  • 2801 N. Gantenbein
    Portland, Oregon, 97227
  • phone: 503-413-2762
  • fax: 503-413-4671
     
• Legacy Good Samaritan
  • 1015 NW 22nd Avenue
    Portland, Oregon 97210
  • phone: 503-413-7201
  • fax: 503-413-6211
     
• Legacy Meridian Park
  • 19300 SW 65th Avenue
    Tualatin, Oregon 97062
  • phone: 503-692-7487
  • fax: 503-692-2479
     
• Legacy Mount Hood
  • 24800 SE Stark Street
    Gresham, Oregon 97030
  • phone: 503-674-2089
  • fax: 503-674-1656 
     
• Legacy Salmon Creek
  • 2211 NE 139th Street
    Vancouver, WA 98686
  • phone: 360-487-3408
  • fax: 360-487-3419