University of Rochester


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Last modified: Tuesday, 29-Jul-2014 14:49:46 EDT

University Health Service (UHS)

Medical Records
Authorization for the Release of Patient Information

Medical information is routinely exchanged between healthcare professionals as deemed necessary by your healthcare provider to assure your safe, continuous care. This information includes records sent to specialists, to emergency departments, hospitals, etc. There is no charge or special patient authorization required for this process.

Immunization Record Release

If you are, or have been, a University of Rochester student or a UHS primary care patient, you can request a copy of your immunization history by submitting your request via e-mail to hhf@uhs.rochester.edu. No other form or signature is required. Generally, immunization records are copied and mailed within 2-5 business days.

Authorization for the release of University Health Service patient information:

If you are, or have been, a University of Rochester student or a UHS primary care patient, you can request a copy of your University Health Service (UHS) medical record. You will need to complete the UHS Medical Record Release of Information Form. Please write to hhf@uhs.rochester.edu to request the form. Your request can be returned via e-mail, fax, mail, or hand delivery.

When completing the UHS Medical Record Release of Information Form, you will be asked to provide the following information:

Fees

There is no charge for immunization histories, or records that are delivered (via fax or mail) directly to another doctor's office or medical care provider. There is a charge for records requested for personal reasons. The fee is $.75 per page or a flat $10.00 for 15 pages or less. Pre-payment is required prior to the release of the records. If requesting records for reasons other than direct medical care (e.g., insurance companies, attorneys), the requestor is responsible for payment of records.

Contact

E-mail:     hhf@uhs.rochester.edu
Phone:      (585) 275-1158
Fax:          (585) 276-0149
Mail:         University Health Service
                 Attn: UHS Medical Record Request
                 Box 270617
                 Rochester, New York 14627


PLEASE NOTE: For the release of medical records from the University of Rochester Medical Center (URMC) or Strong Memorial Hospital, call 585-275-2605 (Strong Health Information Management).