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