Health Records

We will gladly provide copies for your personal use or transfer your records to your next health care provider if you complete and submit authorization form (see Request Copies). See also other ways to get records below. 

For URGENT needs:

If you have an urgent need for your medical records, please email UHS Health Information Management at UHS-ROIRequest@med.umich.edu during business hours, or fax your request to 734-936-3063.

Via the PATIENT PORTAL:

Access UNOFFICIAL records: Some unofficial records are available online through the MyUofMHealth patient portal, including test results, immunizations and visit summaries. (Note that records prior to August 2012 are NOT in the portal.) If you have a portal account, you can access the unofficial records as follows:  

1. Logon to your patient portal at MyUofMHealth.org
2. Click on Menu 
3. Click on My Record and choose option

Request OFFICIAL records: If you have a MyUofMHealth Patient Portal account, you can request records through your patient portal account (this is fastest way to receive records):

1. Login to your portal account at MyUofMHealth.org
2. Click on Menu
3. Under the My Record tab, click on Medical Record Request Form
4. Click on the link for UHS record request form (1st line under Medical Record Request)
5. Fill out information
6. Click Submit Request

If you don’t have a portal account, you can Register for the Patient Portal or follow instructions below to request records..If you need assistance with account recovery or setting up your portal account, you can call the MyUofMHealth Patient Portal Help Desk at 734-615-0872

Request COPIES of your UHS records:

This is for established patients who are requesting copies of their records at this time.

We do not allow students to sign a "blanket" authorization form. What you might want to release to a third party now, you might not want to release at a later date. You will need to sign a release form each time you want new information released from your records.

Please note we cannot accept an electronic signature on Release of Information forms. All forms must have an original signature before the request can be processed. 

Do not complete this form for potential future requests for records.

Please note that UHS retains records for 10 years past last date of service. 

Complete and submit this form: 

Authorization to Release Protected Health Information (PDF)

This form is available by:

• Clicking on the link above
• Contacting us to fax, email or mail a copy to you
• Visiting our office

Can you give me my medical information over the phone? No, we cannot. This is due to the need to protect patient confidentiality. In addition, we are not clinical personnel and cannot explain test results. 

For mailing records: If you want copies to be mailed, please allow at least five days for records to leave UHS. 

Your written request serves several purposes:

• It helps us correctly identify the health information you would like to receive.
• If someone is requesting information on your behalf, it helps to document their authority to receive this information.
• It provides documentation for our records of your request and the information we have provided.
• A written request is required by law (MCC 333.26265) and must be signed and dated within 60 days of being submitted to us. 

Request to allow others to have VERBAL communication regarding your health care:

Compete and submit this form:

Authorization for Verbal Communication of Protected Health Information (PDF)

This form is available by:

• Clicking on the link above
• Contacting us to fax, email or mail a copy to you
• Visiting our office

Radiology images:

Call UHS Radiology directly (734-764-8302) to request radiology images, minimize wait time and ask any questions. Images will be put on a CD to be picked up or mailed.

Where to send requests: 

This request must be submitted with your hand-written signature (we cannot accept electronic signatures).

You may send via mail, fax, in person, or a scanned copy by:

Email: UHS-ROIRequest@med.umich.edu

In person: Visit HIM (basement level of UHS)

Mail to:

University Health Service  
207 Fletcher St.  
Ann Arbor, Michigan 48109-1050  
Attn: Health Information Management (or HIM)

Fax: 734-936-3063

For further information, call HIM at 734-936-3275.