Release of Medical Information
Ìð¹ÏÊÓÆµ of Utah Ìð¹ÏÊÓÆµ follows federal requirements to protect your personal medical information. If you would like U of U Ìð¹ÏÊÓÆµ 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 Ìð¹ÏÊÓÆµ Information form. Please read and complete the whole form.
Please note: A U of U Ìð¹ÏÊÓÆµ employee or a notary public must act as a witness when you sign the paperwork.