1414 NW Northrup, Ste 600
Portland, OR 97209

(503) 223-3104

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Medical Records Release

To find out how to obtain a medical records release request, whether you're a general dermatology patient or a Mohs surgery patient, please read the section below.

Medical Records Release for General Dermatology Patients 

To request a release of medical records, you must sign a release form. Please download and mail in or fax us a medical release form directing us to send your records. Referring Physicians may also use this form. Please note, it may take a few days to fulfill your request.

 Click here to download a records release from Portland Dermatology Clinic.

 

Medical Records Release for Mohs Surgery Patients (Dr. Ken Lee)

To request a release of medical records for Mohs surgery patients, you must sign a release form.

Click here to download the Portland Dermatology Mohs records release form.