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Release of Records

 

If you wish to have records tranferred to or from our clinic, please download/print the form below. Please make sure to completely fill out and sign the form. Once finished, you can bring the form to our clinic, or if you would like, you have the option to mail or fax the form to Westover Heights Clinic.

 

 

 

 How to Send:

Mail to: Westover Heights Clinic

2330 NW Flanders Street Suite #207

Portland, OR 97210

 

OR

 

Fax to: Westover Heights Clinic

(503) 226-4307