Lake District Hospital, Lake Health Clinic and Lake Health Specialty Clinic strive to provide excellent service when fulfilling requests for medical records.
In order to help us provide you the records you need in a timely fashion, please see the instructions below or see our FAQ’s for more information.
Lake District Hospital releases the following types of medical/billing records which are performed at the hospital.
- Hospital Services:
Emergency and Trauma
Inpatient
Diagnostic Imaging and Imaging reports
Surgery
Outpatient
Cardiopulmonary
Sleep Lab
Observation
Vascular Studies
Newborn births
Laboratory
Lake Health Clinic releases the following types of medical/billing records for services performed for Family Practice.
- Family Practice:
Family Medicine
Pediatrics
Walk-in Clinic
Lake Health Specialty Clinic releases the following types of medical records for services performed with a specialty physician.
- Specialty Services:
General Surgery
Orthopedics
OB-GYN
Vascular Studies
Wound Care
How to request Hospital, Clinic or Specialty Clinic Medical or Billing Records.
Authorization for Use and Disclosure of Protected Health Information
Autorizacion para Usa y Divulgar informacion Medica Protegida (Espanol)
How do I complete the form?
To complete the form, click here: How to Complete the Authorization to Release Protected Health Information
Submit the Release of Information Form and include any supporting legal documentation, by mail or fax to:
Lake District Hospital
Release of Information
700 South J Street,
Lakeview, OR 97630
Tel: 541.947.2114
Ext 369 or 5120
Fax: 541-947-3359
Lake Health Clinic
Release of Information
700 South J Street,
Lakeview, OR 97630
Tel: 541-947-3366
Ext 172
Fax: 541-947-4404
Lake Health Specialty Clinic
Release of Information
700 South J Street,
Lakeview, OR 97630
Tel: 541-947-7313
Fax: 541-947-8109
How to request Lake District Health District medical or billing records for someone else (3rd Party)
Please complete one of the authorization forms to request information.
Include the documentation which legally supports your right to request records on behalf of the patient.
- Examples of this documentation to include:
- Healthcare Power of Attorney which refers to medical records
- Legal Guardianship
- Court Order
- Designation of Healthcare Representative in an Advance Directive
Please note: many Durable Power of Attorney documents do not include language which allows a designated person to request medical records on a patient’s behalf.
Complete the authorization form, include any supporting legal documentation, and mail or fax to the address identified above.
Patient Portal
The Patient Portal offers you secure online access to portions of your medical records at your convenience.
To log into your Patient Portal account, click here.
Note:
Billing or Radiology images will not be available through the Patient Portal, you may request these items by completing an Authorization to Use and Disclose Protected Health Information.
Historical medical records may not be available in the Patient Portal. If you are unable to locate the medical records needed, you may request these items by completing an Authorization to Use and Disclose Protected Health Information.
How to request a birth or death certificate
Even if the patient was born or has passed away at Lake District Hospital, birth and death certificates are maintained by the state of Oregon. To request a copy of a birth or death certificate, please visit the Oregon Vital Statistics website. Click here.
Informed consent and medical records privacy for minors
Health care access, confidentiality and privacy
In Oregon, capable adults may make their own decisions about their health care. Capable adults may also access their own health care records, and under most circumstances, may also decide who can access their health records.
Under state and federal law, some minors may make their own decisions about some of their own health care. In some situations, the law requires that a minor’s health records be kept private from his or her parents.
At Lake District Health, Lake Health Clinic, Lake Specialty and Wellness Care, we believe that informed consent, medical record access and medical record confidentiality are extremely important issues affecting all of our patients.
This page is designed to provide patients under the age of 18 and their parents with information about health care decision making, medical record access and confidentiality.
For additional information you may visit Oregon Health Authority Public Health Division Minor Rights.
At age 14:
A capable patient may access mental health, drug or alcohol treatment without parental consent. The minor’s parent may be involved prior to the end of the treatment. If a patient self-consents to mental health treatment, then the medical records of that treatment are confidential and will not be shared with his or her parents.
At age 15:
A capable patient may consent to hospital, medical, surgical or dental treatment, and some optometry services.
At age 16:
A capable patient may donate blood.
At age 18:
A capable patient may consent to his or her own medical treatment, may access his or her own medical records and may decide whether others may access his or her medical records.
At any age:
An emancipated minor and a married minor may consent to his or her own medical treatment and may keep his or her medical treatment confidential from his or her parents.
Minors of any age may access birth control and testing and treatment for sexually transmitted infections including HIV.
When will a minor’s parent be notified of treatment?
For most health care services, a minor patient’s parents may be advised of the care, diagnosis or treatment without the consent of the minor patient.
For treatment related to a mental or emotional disorder or chemical dependency, the minor’s parents may be involved before the completion of treatment, or sooner if the minor’s condition presents a risk of suicide or requires inpatient treatment or detoxification.
A minor’s parent will not be informed of treatment in cases where the minor has been sexually abused by the parent. An emancipated or married minor’s parents will not be informed of any treatment, absent the minor’s consent.
Mandatory reporting
Certain circumstances require doctors, nurses, social workers, teachers, police officers and some other adults to notify authorities of a minor’s health condition, or of a concern about a minor’s safety.
When will a minor’s parent be able to access the patient’s medical records?
At age 18, patients of Lake District Hospital, Lake Health Clinic, Lake Health Specialty Clinic and Lake District Wellness Center are granted access to their medical records through the Patient Portal.
To protect minors’ privacy, parents are not granted access to their child’s records electronically. Some medical records are specifically protected from disclosure to a minor’s parents. However, many types of records are not specifically protected.
By policy, if a minor requests that certain care remain confidential from his or her parents, Lake District Health, Lake Health Clinic, Lake Specialty and Wellness Center will attempt to honor that request, within the confines of applicable law.
If you are a minor and you would like to access your own health information, or a parent and would like to access your child's medical records, please contact Health Information Management Medical Records at 541.947.2114 to further discuss your request for records or you may complete the Authorization for Release of Information form.
If you have questions, please talk to your provider or call the Lake Health District Compliance/Risk Management at 541-947-7298.
