Liberty Neurosurgery Specialists
Please print, fill out, and bring these forms to your appointment. This will facilitate your check-in process with our office. If you have any questions please call the office at 503-581-5517. Thank you.
If you would like to release your records to either yourself or another entity/clinic please use the following form and return the form to our office. Please note that all chart notes will automatically be sent to your referring and primary care doctor.

Mail request to: 1344 Liberty ST SE, Salem, OR 97302

or send us an email request through the patient portal

or Fax: 503-581-6341