Get Medical Marijuana Card | Medical Records Release | Medical Marijuana Portland

Portland Alternative Clinic Inc: Medical Release Form

Download the medical release form fill out and give to your provider / doctor or you can send us your filled out medical release form. You can fax, email, or mail us your release and we can obtain your records for you.

Fax number is 503.200.1147


Mailing address: 10175 SW Barbur Blvd. Suite #213B Portland, Oregon 97219

The Medical Marijuana Clinic in Portland Serving the Medical Marijuana Community