Patient Forms

Due to the high volume of Medical Record requests, we recently outsourced this service to ProviderFlow. ProviderFlow will help OCPN manage the Release of Information (ROI) and process your requests directly to you.

Cost for your records: All patients will be billed automatically by ProviderFlow for their records and then your records will be delivered through ProviderFlow’s HIPAA compliant and secure sharing platform or through a secure digital fax whichever is more convenient for you.

Patients and Attorneys: to submit your Medical Records Request electronically, click here:


If you are unable to complete the electronic form, you may download, print, and fill out the Medical Records Release Form, from the download link below.

To submit your request, fax the completed downloaded form directly to ProviderFlow (fax # located at the top of the form), or drop off the completed form to the nearest OCPN location for us to fax to ProviderFlow for you.