CHOC at Mission Hospital Medical Records
CHOC at Mission patients use the Mission Hospital MyChart patient portal.
CHOC at Mission Hospital operates as a pediatric “hospital-within-a-hospital” within Providence Mission Hospital. Medical records, including those related to the pediatric care received at CHOC Mission, are maintained within Providence Mission Hospital’s Health Information Management system, which is managed by R1. CHOC Mission patients must request their medical records from the Providence system or utilize the Providence MyChart patient portal. For this purpose, some of the links below will take you to the Providence Mission Hospital website.
Release of Patient Information
CHOC Mission is required by law to maintain the privacy of your child’s health information, to provide you with a notice of our legal duties and privacy practices, and to follow the information practices that are described in the Notice of Privacy Practices.
You have the right to receive a copy of your child’s health information that we maintain, with some limited exceptions. You have the right to receive a copy of your health information in one of the following formats: MyChart Patient Portal, email, fax, CD via mail, or paper via mail. You have the right to request that your child’s health information be sent to any person or entity.
Medical records are maintained by Providence for the time period required by state law, and some medical records may not be available.
How to request your medical records
Option 1: Use MyChart Patient Portal
The MyChart secure patient portal allows patients to view portions of their medical record and request copies of medical records that are not available through the portal. There are no fees associated with accessing medical records via MyChart. Learn more about MyChart.
Option 2: Request to access or disclose a designated record set (DRS) with a written letter or form
To receive a copy of your medical records, you may write a letter or complete the form below.
If you choose to write a letter, it must include the following required elements:
- Signed by the individual (patient) or patient representative.
- Clearly identify the patient, preferably name and date of birth.
- Clearly identify the intended recipient, including name and address designated to receive the records.
- Specify the date range, specific medical records, and the name of the facility where treatment was received.
If you choose to use the form, please complete all sections with special attention to the following:
- Indicate the dates of treatment/admissions for which you are requesting information.
- Indicate the type of records needed, e.g. lab results, imaging report, discharge summary.
- Release of HIV test results, mental health treatment or alcohol/drug treatment requires initials and date next to the requested information.
Important Notice
Incomplete requests are considered invalid and will be returned for additional information.
Patient representatives may need to provide supporting documentation to fulfill the medical records request e.g. Durable Power of Attorney, Advance Directive, guardianship or conservator forms.
How to submit your medical records request
We’re asking for your help to reduce the number of paper requests we receive. Our medical records team is not on-site at the various locations. Please submit your request via email or fax 1-855-234-2493.
For hospital records
Providence St. Joseph Health Central Release of Information (cROI)
PO Box 4950
Portland, OR 97208
Phone: 1-855-234-2491
Fax: 1-855-234-2493
Send an email
Hours of operation: Mon – Fri, 8 a.m. – 4:30 p.m. Closed weekends and holidays.
For Provider Office/Clinic records: Please visit Medical Groups > Services > Providence and select the provider’s location.
How to request access to inspect
Providence St. Joseph Health (PSJH) shall permit an individual to request access to inspect their medical record that is maintained in a designated record set. PSJH requires individuals to submit a written request for access to inspect. Please follow the instructions from option 1 above to submit a request.
Once the request to access has been received, you will be contacted by a PSJH caregiver to schedule an appointment.
Additional HIM/ROI Information and Forms
You may write a letter or complete this form to request a correction to your protected health information that was originated or created by a PSJH provider.
You may write a letter or complete this form to restrict the release of your protected health information and/or, revoke a previously signed authorization.
You may write a letter or complete this form to request an accounting of disclosures of your protected health information by PSJH.
Visit the Health Information Exchange website for more information and to access the opt-out forms.