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Retina Consultants LLC fax number

(503) 371-1124

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Ophthalmology

Used for: Medical records requests / records releases (e.g., medical records release forms, patient communications, and related documents).

Fax destination details

Department
Ophthalmology
Purpose
Medical records requests / records releases (e.g., medical records release forms, patient communications, and related documents).
Form
Medical Records Release — Medical Records Release Form
Address
2450 12th Street SE, Salem, OR 97302
Voice phone
503-371-4350

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Complete the Medical Records Release form to authorize the release of records to or from Retina Consultants LLC; include patient details, recipient, and required signatures. See the Retina Consultants Medical Records Release PDF for guidance.

Official form instructions are published as a downloadable file on the organization's website.

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