Patient Registration (PDF)
Health History (PDF)
Financial Policy (PDF)
Medical Records Release (PDF)
The law requires that requests for medical records must be in writing. For your convenience, you can download a Medical Records Release Form below. Complete instructions are included on the form.
PDFs: You will need Adobe Acrobat Reader to view and print PDF forms. If you do not have this program, you may download it for free here.
|Groskopp & Ryland | 800 E. Main, Medford, Oregon 97504 | Phone (541) 608-7683 | Fax (541) 608-7689
A Rogue Valley Physicians, PC clinic