For Providers Sending Patient Records to Willamette Dental Group

To send patient charts and X-rays to Willamette Dental Group, please follow these steps:

Step 1

Complete this form. To sign the form, please download and add an Esignature in Adobe Acrobat or print, sign, and scan the signed document to us.

Step 2

Submit the completed form to our Records Department via secure email, fax, OR US postal mail: 

Secure Email Portal

The secure email portal is available to send requests in an encrypted format to protect patient health information. Please use adminrecords@willamettedental.com as the delivery address.

Fax

Please fax any patient records you are submitting to 503-952-2601.

US Postal Mailing Address

Willamette Dental Group
ATTN: Records Department
6950 NE Campus Way
Hillsboro, OR 97124


Disclaimer: All new patient charts and/or X-rays sent to us will be kept on file for six months and then deleted if patient fails to schedule and have their first appointment with a Willamette Dental Group provider.

We adhere to the Dental Practices Act Standard to process requests received. Estimated turnaround time is 5 business days for electronic requests and 10 business days for printed requests. We do not offer rush processing.