Medical Records - Yellowhawk Tribal Health Center
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Medical Records

Medical Records Authorizations

Yellowhawk Tribal Health Center provides access to medical records from our health care facility to patients and their authorized representatives.

Release of Information Authorization Forms

Complete this form to authorize Yellowhawk to disclose a copy of your protected health information to someone other than yourself.

Complete this form to receive a copy of your protected health information from Yellowhawk.

Complete this form to authorize Yellowhawk to receive a copy of your protected health information from an outside office or hospital.

Where to Submit Forms

Medical Records receives requests via fax, USPS, FedEx, UPS. If you wish to hand deliver your request, please drop it off at the medical reception desk during business hours.

ATTN: Medical Records
Yellowhawk Tribal Health Center
PO Box 160
46314 Timíne Way
Pendleton, OR 97801
PH: 541.240.8736 or 541.240.8735
FAX: 541.240.8751

Turnaround Times

Requests are processed within five days of receiving the request, depending on requestor type. For example, routine continuation of care requests will typically be processed within one working day and urgent continuation of care requests will typically be processed within 30 minutes.

Hours

Monday through Friday: 7:30 am to 4 pm

 

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HIPAA for Individuals

Understand your rights affecting Health Information Privacy.

Please only use this form to have our Medical Records team contact you. All records should be sent securely, do not submit online.
Please do not submit medical records for yourself or patients. You may fax to 541.240.8751. See our website for forms to request records to and from our team.
Do NOT submit any medical information through this form. Contact the specific department to receive a secure option to send your information.