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If this is a Single Exam make one selection below. If it is a Panel Exam please make two or more selections.
Medical Record Delivery
Secure Upload Instructions:
You can submit the medical record(s) by using the menu to navigate to our Medical Record Upload page. Don't forget to submit this scheduling form first.

Pick Up Instructions:
In the additional comments section, please let us know the best time to swing by and pick up the medical record(s).

Mail Instructions:
Mail your medical record(s) to our corporate address:

INTEGRITY MEDICAL EVALUATIONS
5845 Shoreview Ln. N.
Keizer, OR 97303


Fax Instructions:
Fax your medical record(s) to us at +1 (503) 584-1269.