Medical Records Release Form
Need to transfer your dental records to or from East Wind Dental Care? Complete this authorization form to release your protected health information.
When You Might Need This Form
- Transferring to a new dentist
- Receiving dental records from a previous provider
- Providing records to a specialist for consultation
- Insurance or legal documentation requests
- Personal records for your files
Information Included in Records
Your dental records may include:
- Treatment history and clinical notes
- X-rays and diagnostic images
- Treatment plans and recommendations
- Medical history and medications
- Insurance and billing information
Processing Time
We process records requests within 5-7 business days. Rush requests may be available for an additional fee. Digital records can often be sent securely via email.
[ninja_form id=9]Questions?
Contact our office at (503) 614-0198 for questions about your records request.
East Wind Dental Care
7546 NE Shaleen St, Hillsboro, OR 97124
Ready to Get Started?
Schedule your appointment today at East Wind Dental Care in Hillsboro, OR. Dr. Merat Ostovar and our experienced team are ready to help you achieve your best smile.
Written by Dr. Merat Ostovar, DDS
Doctor of Dental Surgery | 15+ Years Experience
Aloha Modern Dentistry | Beaverton, Oregon
Last updated: October 18, 2017