Medical Records

Lower Umpqua Hospital values your privacy rights and takes many precautions to safeguarding your information.  Your medical record contains information from your physicians and health providers who care for you.

To ensure your privacy we require a copy of your driver’s license to ensure identification. We offer a convenient electronic copy of your health record on a jump drive or on paper if you prefer.  To request a copy of your record simply fill out the required form and allow 72 hours for processing.

Their hours of operation are Monday-Friday, 8:00am – 4:30pm.

  1. Download the Authorization to Disclose Medical Records Form (pdf)
  2. Mail or fax completed form along with a copy of your signed drivers license to:

600 Ranch Road
Reedsport, OR 97467
T:  541-271-2171 ext 3510
F: 541-271-6322

Please note that only patients of Lower Umpqua Hospital can request a copy of their medical records.