Looking to Obtain a Copy of Your Medical Records?
Paper Copy of Medical Records:
Federal HIPAA laws require an authorization to be completed for all medical record requests, unless your provider is requesting them for your care. Your medical record, and the information it contains, is confidential. Therefore, we must confirm your identity before releasing your medical record. Only the patient or his/her legal guardian can sign the form. You can download the authorization form below:
Release of Information Form:
To obtain your medical record, please bring all of the documents listed below to the Information Desk in the front lobby or call 435-713-9700.
- Authorization for Use and Disclosure of PHI Form Completed and signed
- A current government issued photo ID (passport, driver’s license, State ID, or military ID)
Records for your Physician
Our goal is to get your health information to the appropriate health care provider as quickly as possible; therefore we recommend that your physician (or other healthcare provider) request a copy of your medical records to be delivered directly to his/her office by fax. There is no charge to you for this service.
Read more about our responsibilities and your rights for privacy.