Release of Protected Health Information (ROI) - Health & Counseling Center
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Release of Protected Health Information (ROI) - Health & Counseling Center (fillable PDF)
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Revocation of Release of Information (ROI) - Health & Counseling Center
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Oregon Request for Confidential Communication
University of Portland
5000 N. Willamette Blvd.,
Portland, Oregon 97203-5798
503.943.8000
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