Naturopathic, Acupuncture and Chinese Medicine in Portland, Oregon: Pearl Natural Health
Call for an Appointment: 503-230-8973
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      • Ellen Goldsmith, L.Ac.- Acupuncture, Stress, and Pain Reduction
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Request to Release Medical Records

Home → For Patients → Request to Release Medical Records

Please click on the forms below to access release of medical records:

Please download the appropriate form and either e-mail it or fax it to Pearl Natural Health: 503 230.8978

Release of Medical Records FROM Pearl Natural Health to other provider

Request and Authorization: Release Medical Information TO Pearl Natural Health

For Patients

  • Request to Release Medical Records
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  • New Patient Intake Forms
  • Online Store: Supplements, Cleanses and Books
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Contact

Pearl Natural Health
P.O. Box 11221
Portland, OR 97211
Phone: (503) 230-8973
Fax: (503) 230-8978
pearl@pearlnaturalhealth.com

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Blog

  • 20 Facts about IBS, IBD, and SIBO Compiled
  • An Elemental Primer: Use of Elemental Diets in IBD and IBS – Part 4

Pearl's Ellen Goldsmith has published a new book on the healing power of food.

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* This website is for informational purposes only, and is not a substitute for individualized medical or professional advice, care, diagnosis, or treatment. Results of treatment may vary.
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