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  1. at The Portland Clinic. Should my legal authority to make health care decisions for this child change in the future, I will inform the The Portland Clinic immediately. My legal access to my child’s medical record will be revoked when: I submit a request to revoke; the child turns 18; or the child informs The Portland Clinic of emancipated status.

  2. We are committed to providing the health services that are needed by our community. These include Drug Users Health Services, Tattoo Removal, Transgender and Gender Non-conforming care, and an onsite Pharmacy. Partnership. Outside In is a teaching site for Oregon Health & Science University and the National College of Natural Medicine.

  3. New patients are required to create a MyChart account. Access your test results. View lab and test results as well as your doctor’s comments as soon as they’re available. Manage your appointments. Schedule your next appointment, or view details of your past and upcoming appointments. Pay your bill. Pay your medical bills, anytime, 24/7 from ...

  4. Mail to: Release of Information Department. The Oregon Clinic. 541 NE 20th Ave, Suite 225. Portland, OR 97232. Fax to: 503-935-8384. Fill out the authorization form . Once the authorization has been verified, the Release of Information Department will fulfill your request within three to five days. Requested images will be sent via email link.

  5. This form is an authorization that will permit The Portland Clinic to release medical information to a designated person other than the patient via MyChart. Please read it carefully. This form should be completed by the patient who is authorizing another person (called a “proxy”) to access medical information in his or her MyChart record.

  6. The Portland Clinic. Should my legal authority to make health care decisions for this child change in the future, I will inform the The Portland Clinic immediately. My legal access to my child’s medical record will be revoked when: I submit a request to revoke; the child turns 18; or the child informs The Portland Clinic of emancipated status.

  7. At The Oregon Clinic Gastroenterology, our doctors are nationally recognized as experts in their field, specifically trained to care for diseases of the digestive system. We are committed to the health and well-being of our patients. For some visits, we also offer virtual consults using a phone, tablet or computer.

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