Patient Medical Records
Mid-Columbia’s Health Information Management (HIM) team can provide
you with Medical Records listed on our Patient Authorization to Disclose
Health Information, whether for care in the hospital or the MCOC clinics.
Please download this form, complete it, and return it to us by mail or by fax.
Mail to MCMC Health Information Management, 1700 East 19th Street, The
Dalles OR 97058.
Fax to MCMC Health Information Management at 541-296-7617.
We will then assess whether what you request is available, and prepare
a copy. You may either pick it up from our office at the above address,
Monday through Friday 8-4:30 PM, or we will mail it to you. Please allow
2 weeks processing time. Fees for retrieval and copies may apply.
If your doctor’s office needs copies, please have the office contact
us directly by calling 541-296-7294 or faxing a request to 541-296-7617.
Electronic copies: If your record was prepared on our electronic health
record, we will be able to place it on a disk or thumb drive for you.
Please specify this on your request form.
Some records will be available automatically in your online electronic
record portal “MyChart.” Your clinic provider can give you
access next time you visit; or if you bring photo ID, our HIM staff can
also sign you up for this free service.
If you visited MCMC after 12/6/15, we can release key portions of your
record directly to your MyChart. Either:
- Indicate "MyChart" on the Patient Authorization form, or
Log into MyChart using this link and fill out the online request form,
being as specific as possible in the Explanation field:
After you have read your records, if you believe there is a material discrepancy,
you are welcome to file the Record Amendment form; please be specific
and send a copy of what you think the error is. We will present your form
and document to the provider who made the entry and reply with our findings.
Patient Information Forms & Documents