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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
If you have any questions, please call our Access Center at 1-833-UT-CARES (1-833-882-2737). You can also view your medical record online through your MyUTHA Patient Portal.
To apply for parts of or all of your record, please complete a Subject Access Request form. This form must be signed by hand and returned with two forms of identification (as given in the request form).
Patients can request their records through MyChart. Login to MyChart. Select "Health". Select "Medical Records Request Form".
In no case shall the record be retained less than seven years. (8) All patient records shall be retained within the clinic upon change of ownership. (9) Provision shall be made for filing, safe storage, security, and easy accessibility of medical records. (10) Medical record information shall be confidential.
In Utah, where I practice, the physician and/or hospital owns the record, meaning that a patient must go through a hospital medical records department, oftentimes with considerable delay, to get their own information. Many systems provide limited access to information through Web portals such as MyChart.
In no case shall the record be retained less than seven years. (8) All patient records shall be retained within the clinic upon change of ownership. (9) Provision shall be made for filing, safe storage, security, and easy accessibility of medical records. (10) Medical record information shall be confidential.
Patients can request their records through MyChart. Login to MyChart. Select "Health". Select "Medical Records Request Form".