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Medical records request - Utah and Idaho
Questions related to the release of records for care received in Utah and Idaho.
Fax385-215-7047
Completed medical-record request and disclosure-authorization forms for care received in Utah and Idaho.
Published emailCompleted medical-record request and disclosure-authorization forms for care received in Utah and Idaho.
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Utah · Idaho
Mailing completed medical-record request and disclosure-authorization forms for care received in Utah and Idaho.
The current medical-records page publishes the Centralized Release of Information question phone and the fax/mail instructions for Utah and Idaho. Its currently linked patient-request and PHI-disclosure forms confirm the fax and submission email. Select the route according to where care was received; this is records administration, not clinical advice or a general referral fax. No departmental hours or individual walk-in address were established.
View source ↗ · Source checked 2026-10-22 · Currently linked Patient Request for Health Information; A-MR-4000-0625, revision06/2025. ↗ · Currently linked Authorization for Disclosure of PHI; A-MR-0215-0625, revision06/2025. ↗
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