Patients can request their records through ... please contact the Health Information Department at 801-581-2704. Many of these forms can be opened, filled in, and printed on-line. The applicable form ...

you cannot use the authorization form to re-release this information. For copies of medical records that came from another individual or agency, please contact that original individual or agency ...

Authorization forms for release of information may be obtained below or at Bucknell Student Health. Requests for records should be submitted to [email protected]. Please complete the ...

Typically, duplicate or multiple requests will be charged a fee. Release of Medical Records form for Baylor College of Medicine students and employees Completed forms for Baylor students and employees ...

After request is submitted, please allow 2-3 weeks for processing. If you are an outside entity, or unable to log-in to myhealthconnect.case.edu please complete the medical record request form and ...

To request a copy of part or all of your medical record from the Unified Clinics at Western Michigan University, please choose the option that is best for you: Fill out the release form and email it ...