Release of Medical Information
University of Utah ÐÇ¿Õ´«Ã½ follows federal requirements to protect your personal medical information. If you would like U of U ÐÇ¿Õ´«Ã½ to share your medical health information with anyone (spouse, family member, other health care provider) you must give written permission.
To give permission, please use the Patient Authorization Disclosure or Receipt of Protected ÐÇ¿Õ´«Ã½ Information form. Please read and complete the whole form.
Please note: A U of U ÐÇ¿Õ´«Ã½ employee or a notary public must act as a witness when you sign the paperwork.
