Request and transfer dental records

At Willamette Dental, we make it easy for patients and providers to request or send dental records while maintaining the highest standards of privacy and security. Follow the steps below to ensure your records are handled efficiently and securely.

For patients requesting records

To request a copy of your patient records from Willamette Dental:

Step 1:
Complete the authorization form, including your signature.

• To sign electronically, download the form and use an eSignature in Adobe Acrobat.
• Alternatively, print, sign, and scan the completed document.

Step 2:
Send your completed authorization form using one of the following methods:

• Secure Email Portal: Submit your form via our Secure Email Portal for encrypted communication.
• US Postal Mail: Mail your completed form and payment to:
  Willamette Dental
  ATTN: Records Department
  6950 NE Campus Way
  Hillsboro, OR 97124
• Fax: Send your completed form and payment to 503-952-2601.
• In-Person: Drop off your completed form and payment at any of our offices, Monday through Friday, 7am – 5:30pm.

Important notes:

• If you’re unsure which form to use, contact our Records Department for guidance (please do NOT send sensitive information via this link).
• Turnaround time: 5 business days for electronic requests, 10 business days for printed requests. Rush processing is not available.

For providers sending patient records

To send patient charts and X-rays to Willamette Dental:

Step 1:
Complete the authorization form, including your signature.

• To sign electronically, download the form and use an eSignature in Adobe Acrobat.
• Alternatively, print, sign, and scan the completed document.

Step 2:
Submit the completed form and records using one of the following methods:

• Secure Email Portal: Use the Secure Email Portal and address the email to adminrecords@willamettedental.com.
• Fax: Send to 503-952-2601.
• US Postal Mail: Mail to:
  Willamette Dental
  ATTN: Records Department
  6950 NE Campus Way
  Hillsboro, OR 97124

Important notes:

• New patient charts and X-rays will be kept on file for six months and deleted if the patient does not schedule an appointment with a Willamette Dental provider.
• Turnaround time: 5 business days for electronic requests, 10 business days for printed requests. Rush processing is not available.