Utah Request for an Individuals Health Information

State:
Multi-State
Control #:
US-3577
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an individual to request access to his or her protected health information. The individual's rights regarding this access are also acknowledged by the individual.

How to fill out Request For An Individuals Health Information?

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FAQ

How long does your health information hang out in a healthcare system's database? The short answer is most likely five to ten years after a patient's last treatment, last discharge or death. That being said, laws vary by state, and the minimum amount of time records are kept isn't uniform across the board.

The short answer is most likely five to ten years after a patient's last treatment, last discharge or death. That being said, laws vary by state, and the minimum amount of time records are kept isn't uniform across the board.

May not charge a fee for the electronic copy that exceeds $150 regardless of the number of pages and regardless of whether the original medical records are stored in electronic format.

Contact your local health department and ask them to print an Official USIIS Personal Utah Immunization Record for you.

(c) Medical records shall be retained for at least seven years. Medical records of minors shall be kept until the age of eighteen plus four years, but in no case less than seven years. (d) The Hospital may destroy medical records after retaining them for the minimum time period.

How to Request Your Medical Records. Most practices or facilities will ask you to fill out a form to request your medical records. This request form can usually be collected at the office or delivered by fax, postal service, or email. If the office doesn't have a form, you can write a letter to make your request.

Hospitals must retain medical records for 7 years. Medical records of minor patients must be kept for 4 years past the minor's 18 birthday, but...

There is a medical record request form on the Salt Lake Regional Medical Center website under Medical Records. Fill out the request and fax along with a photo identification to 801-350-4390.

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Utah Request for an Individuals Health Information