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How to Request Your Medical Records | UW Medicine

    https://www.uwmedicine.org/patient-resources/access-medical-records-images
    Hall Health Center Harborview Medical Center UW Medical Center – Montlake UW Medical Center – Roosevelt UW Medicine Primary Care UW Medical Center – …

Medical Records | UW Health

    https://www.uwhealth.org/medical-records
    Option 1. Complete and print the UW Health Authorization for Disclosure of Protected Health Information Form (pdf) Mail or fax the completed form to the following address: …

Patient Forms | UW Medicine

    https://www.uwmedicine.org/patient-resources/patient-forms
    Patient Authorization for UW Medicine to Use or Disclose Protected Health Information for Publicity; Patient Authorization to Disclose, Release and/or Obtain Protected Health …

Medical Records | Husky Health & Well-Being

    https://wellbeing.uw.edu/resources/medical-records/
    UW Medicine Medical Records Department 325 Ninth Avenue Box 359738 Seattle, WA 98104. Phone. 206-744-9000. Fax 206-616-4683. Email [email protected]. Give …

Forms | Husky Health & Well-Being

    https://wellbeing.uw.edu/resources/forms/
    Form to request medical records or share medical information Read more about Release of Medical Information (ROI) and find the form you’ll need to give a parent, partner or …

Patient Authorization for Protected Health Information 103F7

    https://www.uwmedicine.org/sites/stevie/files/2019-07/Patient%20Authorization%20for%20Protected%20Health%20Information%20103f7_AuthRq%20PDFA.pdf
    Harborview Medical Centerand Clinics UW Medical Centerand Clinics UW Medicine Neighborhood Clinics Hall Health Center Mail: 325 Ninth Ave.,Box 359738 Seattle, WA …

UW Health

    https://www.uwhealth.org/forms/medical-records-inquiries
    Donations to UW Health are managed by the University of Wisconsin Foundation, a publicly supported charitable organization under 501(c)(3) of the Internal Revenue Code. …

INSTRUCTIONS FOR COMPLETING AUTHORIZATION …

    https://bynder.uwhealth.org/m/8c3cc3c8466b256a/original/Authorization-for-Disclosure-of-Protected-Health-Information.pdf
    tables and documents. Copies released from Health Information Management include medical records only. Sending Authorizations to UW Health: Authorizations for UW …

Medical Records Release | Records Management Services

    https://finance.uw.edu/recmgt/retrieval/medicalrecords
    Medical Records Release. Please be aware that we are NOT the office that releases medical records. If you need a copy of a medical record from UW Medical Center, …

Tips for Use of Authorization for Release of Verbal ... - UW …

    https://bynder.uwhealth.org/m/f2968929ea2c560b/original/Authorization-for-Release-of-Verbal-Communication-and-Written-Communication.pdf
    UW Health – Health Information Management (Release of Information), 8501 Excelsior Drive, Madison, WI 53717, (608) 2636030, Option - 3. ... Multiple Formats for Release of …



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