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Medical Records

St. Charles Health System strives to provide excellent service when fulfilling requests for medical records. In order to help us provide you the records you need in a timely fashion, please see the instructions below or see our FAQ’s for more information.

How to request St. Charles Health System medical or billing records

Please complete one of the following forms to request information:


Authorization for Use and Disclosure of Protected Health Information (English)

Autorización para Usar y Divulgar Información Médica Protegida (Espanol)


Or, you may pick up an authorization form at any St. Charles Health System location (hospital or clinic).

Complete the authorization form, include any supporting legal documentation, and mail or fax it to:

St. Charles Health System
Release of Information 
2500 NE Neff Road
Bend, OR 97701
Fax: (541) 706-6352

Or drop off at any St. Charles Health System hospital or clinic location.

How to request St. Charles Health System medical or billing records for someone else (3rd party)

Please complete one of the authorization forms to request information, and include documentation which legally supports your right to request records on behalf of the patient. Examples of this documentation include Healthcare Power of Attorney which refers to medical records, Legal Guardianship, Court Order, or a designation of Healthcare Representative in an Advance Directive. Please note: many Durable Power of Attorney documents do not include language which allows a designated person to request medical records on a patient’s behalf.

Complete the authorization form, include any supporting legal documentation, and mail or fax it to:

St. Charles Health System
Release of Information 
2500 NE Neff Road
Bend, OR 97701
Fax: (541) 706-6352

Or drop off at any St. Charles Health System hospital or clinic location

MyChart

MyChart offers you secure online access to portions of your medical records. You may request additional medical records through your MyChart account. You may access MyChart here.

Please log into your MyChart account, and select the “Request Records” button. Complete the online form to request your records. Only those records for services which occurred on or after April 7, 2018 may be sent to you through MyChart (Note: Billing or Radiology images will not be available through MyChart, but you may request these items by completing an Authorization to Use and Disclose Protected Health Information).

Your records will be released to your MyChart account. Please download or print them for your future use, as they will expire 30 days after they have been released to you.

How to request a birth or death certificate

Even if the patient was born or has passed away at one of the St. Charles Health System hospitals, birth and death certificates are maintained by the state of Oregon. To request a copy of a birth or death certificate, please visit the Oregon Vital Statistics website.

Frequently Asked Questions

How much does it cost to get my records?

The fee depends on the format of the records, and the number of pages released. St. Charles Health System Release of Information department can provide you with copies of your records in paper or electronic format. There is an additional cost for radiology images on a CD.  (Standard copy fees will apply subject to federal and state regulations).

How long will it take to get my records?

Though Federal and State laws allow up to 30 days for processing, our goal is to have your medical records request completed as soon as possible. Once we have completed your request, if there is a fee, our team will either mail you an invoice, or call you to alert you that the records are ready.

If you are asking that your records are sent to a healthcare provider, it is often faster to ask the provider’s office to request that information be sent directly to them.

How will I receive my records?

If there is a charge for records, you will be mailed a billing invoice. You may either pay over the phone, by mail, or in person. We accept credit/debit, cash, and checks. 

Once your invoice is paid, we will either mail your records to you, or you may pick up the records at St. Charles Health System’s centralized Release of Information office in Bend, please mark that selection on page 2 (back) of the Authorization form.

How do I contact the Release of Information office for questions or help?

To reach the Release of Information department, please call: 541-706-7784, option 1 during our regular business hours Monday-Friday, 8 a.m. – 5 p.m. PST.

How do I request an Amendment to my record?

If you believe there is an error in your medical records, you may request St. Charles Health System review your record, and if approved, an amendment may be made. A request for amendment is not a guarantee of the change, however, you will be contacted regarding the result of the review process.

Please complete and sign the Request for Amendment form, and return to the St. Charles Health System Privacy Officer at:

St. Charles Health System
Privacy Officer 
2500 NE Neff Road
Bend, OR 97701
Fax: (541) 706-4778