If you wish to have medical information released you can print, complete and sign the form below. The form MUST be signed by the patient (unless patient is under 18 years of age, then the parent or ...

If you have questions, please contact the Health Information Department at 801-581-2704. Many of these forms can be opened, filled in, and printed on-line. How to Submit Patient Information Release ...

Come to the Unified Clinics third floor reception desk to fill out a release of information form in person. Email. Fill out the release form and email it to [email protected]. For all business ...

Medical information is confidential and can only obtained from or provided to the University of Wyoming Student Health Service with a signed release form. There are many reasons that confidential ...

Because audio, video or digital recordings include images or voices of research participants, they pose a greater concern to the IRB than do data that do not have readily available identifying ...

Releasing Your Information. If you have had at least one appointment with Medical Services (MS) and would like to release your medical information to yourself or to another person/clinic, please ...