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.
