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All information is considered confidential and will not be released without the patient's written consent or a signed court order. Patients have the right to obtain copies of their medical record.​

Requests for Complete Medical R​ecords

Mailed request should include a check or money order in the amount of $20.00, payable to UH-Downtown, and a copy of your Driver's License or State ID. Request made in person may be paid by cash, check or credit card.

Authorized requests for complete medical records from another health care facility will be processed at no charge. Forms may be sent by mail or fax. Records will be mailed directly to the health care facility initiating the request.

Release of Confidential Me​dical Records Form is available for download in pdf format. In order to view and print this document, you will need the Adobe Acrobat Reader software. It can be downloaded from the Adobe website.

Allow up to ten (10) business days for processing​

Office of Student Affairs
Last updated 8/21/2015 2:49 AM