Your medical record
Salem Health is committed to maintaining and protecting your medical records. You have the right to inspect and/or receive a copy of these records, with certain exceptions.
To view your medical records, please use MyChart for instant access to records such as lab results, imaging, and immunizations. For detailed instructions on how to view your records in MyChart, please click here.
How to request a medical record
MyChart electronic process
If you need a copy of records that are not available in MyChart, simply submit your request electronically through MyChart (click here for instructions).
To manually order records, please click on the appropriate form below:
Download in English
Download in Spanish
Download in Russian
Salem Health may charge a fee for providing paper copies of your medical records. If using the paper form, you may submit a signed copy via any of the methods below:
Scan or take a picture of signed release form and email it to us.
Salem Health Hospitals & Clinics
ATTN: HIM Department
890 Oak St. SE
Salem, OR 97302
You can also drop off your signed request in-person:
||West Valley Hospital
||890 Oak St. SE
Salem, OR 97302
Building B, second floor
|525 SE Washington St.
Dallas, OR 97338
||Health Information Management
|Release of Information Room
||Monday through Friday, except holidays
8 a.m. to 4:30 p.m.
|Mondays and Thursdays, except holidays
8 a.m. to 4:30 p.m.
|Same day requests
||Please call ahead to see if we can accommodate your request.
- Click here for visitor information and our mask policy.
- Photo identification is required for release of your records.
- Don’t forget your signed form. But if you do, we’ll have a blank one for you.
For your safety and convenience, we encourage you to use one of the other methods to request your records rather than coming to campus, especially during construction and/or the COVID-19 pandemic.
Copies of medical records are available for:
- Adult patients accessing their own medical records.
- Parent or legal guardian accessing records for their minor child or family members.
- Minors, under certain circumstances.
- Health care representative with proof of legal documentation.
- Next of kin requesting medical records of a deceased patient, with legal documentation.
What records do I need to request?
Before requesting any records, please check MyChart to see if you can access what you need. If not, consider the below types of requests:
General requests: If you are requesting information to help with continuing patient care or to see an overview of what care has been received, check all the pertinent boxes on the authorization form and be sure to include a date or date range.
Request something specific: If you need specific information, please check “other” and write in what is specifically needed on the “other” line of the authorization form. (For example, if an anesthesia report is needed, please write “Anesthesia Report” on the “other” line.)
If you are not sure what records to request, please contact the medical records department at 503-561-5750. We will do our best to assist you with your request by helping you navigate MyChart or answering questions about the authorization form.
Receiving your medical records
We typically fulfill requests within two weeks, but please allow up to 30 days to process your requests.
Please note: Salem Health may charge a fee for providing paper copies of your medical records.
We protect the privacy of your health information
Protected Health Information is information about your health care that may include information that can identify you or is related to your health, the care received here, or payment for care.
If you have a concern about a privacy issue during your treatment, please discuss with your physician, nurse, or the department manager.