To request records FROM Broadway Medical Clinic to be sent to another physician or clinic please complete Release of medical record form. The form can be returned to our office by mail.
Broadway Medical Clinic Release of Information 4212 NE Broadway Portland Oregon 97213 or by FAX 503-382-7706. Broadway Medical Clinic releases records to other medical providers at no charge to the patient or provider for ongoing medical care. Requests from attorneys or patients for personal use or for disability applications are billed at the standard rate set by The State of Oregon.