Patient Services & Privacy

Medical Records

Yellowhawk Tribal Health Center provides access to secure medical records from our health care facility to patients and their authorized representatives, respecting your privacy and federal rights.

Crucial HIPAA & Security Protection

For your protection, medical files and actual records cannot be submitted through online web forms. All records must be sent securely via certified physical courier, fax, or secure portal direct from your provider.

Access Your Records

Fax

541.240.8751

Phone

541.240.8736 or 541.240.8735

In-Person

46314 Timíne Way
Pendleton, OR 97801

Hours: M-F, 7:30 AM - 4:00 PM

Mailing Address

Yellowhawk Tribal Health Center
Attn: Medical Records
PO Box 160
Pendleton, OR 97801

Authorizations

Release of Information Authorization Forms

Need to request, share, or bring in medical records? Choose the appropriate form below to securely submit your authorization.

Share Records With Someone Else

Complete this form to authorize Yellowhawk to disclose a copy of your protected health information to someone other than yourself.

Request my own Records

Complete this form to receive a copy of your protected health information from Yellowhawk.

Bring in Outside Medical Records

Complete this form to authorize Yellowhawk to receive a copy of your protected health information from an outside office or hospital.

HIPPA For Individuals

Understand your rights affecting Health Information Privacy.

Please only use this form to have our Medical Records team contact you. All records should be sent securely, do not submit online.

HIPPA For Individuals

Name(Required)
What are you seeking help for?(Required)
Please do not submit medical records for yourself or patients. You may fax to 541.240.8751. See our website for forms to request records to and from our team.
Do NOT submit any medical information through this form. Contact the specific department to receive a secure option to send your information.