Request a Record

How to request billing and medical records.

Requesting Contact Info

Mail to:

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

Fax to:

503-295-2232
Attention: Compliance Department

Questions?

Call us: 503-299-9906

Note: OAG maintains patient billing records for both OAG and OAG Interventional Pain Consultant (IPC) patients.

Request Billing Records for Yourself or Your Family

To have records sent to yourself or to another person or a company, send us a letter with your request.

Please make sure your letter includes the following:

  • Patient’s full name
  • Patient’s date of birth
  • Date(s) of service or date range of the billing records you're requesting
  • Name, signature, and date of person requesting billing records
  • Relationship to the patient (e.g., self, parent, personal representative)
  • Note: If you are a personal representative signing the letter on behalf of the patient, please provide a description of your authority to act on behalf of the patient and a copy of official documentation granting this authority.
  • Indicate how you would like to receive the records:
    • If by mail, please include the delivery address; or,
    • If by fax, please include the fax number; or,
    • If by secure e-mail, please clearly write the email address.
  • Phone number in case we have questions

This service is free of charge.

For third-party requests

Please download the Information Authorization Form and ask the patient to sign the completed form.

Note: OAG charges a flat fee of $30 to process requests from third parties.

Requesting Medical Records

Request Anesthesia Medical Records

  • Your anesthesia medical records can be requested through the facility where you received medical services.

Request Interventional Pain Clinic (IPC) Medical Records

  • Your (IPC) medical records can be requested from SIS NW, Inc.
  • They will need the Information Authorization Form signed by the patient.
  • Contact them at 206-686-2821 or roisupport@sisnwinc.com or fax 206-686-2840.
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