For copies of your Billing Record

For Patients
If you would like a free copy of your OAG billing records for yourself or to send to another person or company, please call our billing office at (503) 278 5354 or toll free at (855) 514-4375.

For Third Parties
If you are a third party (e.g., attorney’s office, car insurance company, etc.) and are initiating a request for a patient’s OAG billing records, please download the Authorization Form below and have the patient complete it. Please note that OAG charges a flat fee of $30 to process requests from third parties.

Authorization Form (PDF)

Authorization Form (Word doc)

Where to Send Your Request
You may send your letter or completed Authorization Form to the OAG Corporate Office in one of the following manners:

By Mail:
OAG – Compliance Department
707 SW Washington St., Suite 700
Portland, OR 97205

By Fax: (503) 295-2232
Attention: Compliance Department

Questions?
Questions about requesting OAG billing records may be directed to the OAG Corporate Office at (503) 299-9906.

PLEASE NOTE: OAG maintains patient billing records for both OAG and Interventional Pain Consultant (IPC) patients. Patients requiring copies of their IPC medical records click here. Patients requiring copies of their anesthesia medical records should request them through the facility where they received medical services.

BEFORE SENDING AN EMAIL, PLEASE NOTE:

Do not include personal health information in this email. Information sent via email should not be considered secure.