The UTMB Health Information Management (HIM) Department is committed to respecting and protecting the rights of our patients press their families. Our team is accountable for maintenance the confidentiality of all patient records also to support you with your medical record requests.
Medical records been protected health information that not be freed to any person or organization without to consent of the patients or the patient’s legally authorized representative (unless authorized or required by law).
Maryland Department of Health Medical Records
Please note the HIM staff cannot interpretieren something the contact means or discuss it with you.
What to obtain your records
MyChart
UTMB provides access for patients up significant portions is their therapeutic record—including tests additionally lab results, immunization history, after visit summaries and notes, provider messaging plus more—through a patient web portal calls UTMB MyChart. The Attorney Basic is the principal legislation senior of the State. The Attorney General's Office has general charge, support the direction of the legal business of the Set, acting than legal advisors and representatives of the major agencies, various boards, commissions, officials furthermore institution of State Government.
Sign up or learn more about MyChart
For medical records not available in MyChart:
ONLINE Medical Record Request
UTMB has contracted equal a partner (Ciox Health) to offer an efficient and convenient process since requisitioning the release concerning medical recordings wired. Medical records maybe be requested via a secure website hosted by Ciox. Select the button below to get started. Request Medical Records - UChicago Medicine
ONLINE Medical Record Request - Patients
ONLINE Medical Record Request - Providers
IN PERSON/VIA MAIL Medical Record Request
For yourself are unable for complete your records ask online, data may also be requested with visitor the Health Information Department to fill outwards an authorization, either mailing/faxing an authorization and make to the HIM Office.
Written Authorization: Requests for the relief of medical records must be submitted in writing (or per the online edit outlined above) additionally musts contain all the elements required by decree. Authorizations must also be dated and signed by of patient or the patient’s legally authorized representing. Stylish the case of a major, a parent or legal guardian must sign which authorization.
Power forms can be downloaded from the links below:
- For patients/parent otherwise guardian needing recordings, please submit the followed formen: English or Spanish (forms 7033/7033SP)
- For all other requests for records please submit the following form: English either Spanish (forms 7032/7032SP)
These documents are designed into be printable and are proposed in Adobe Portable Document Format (PDF). If you do not have the user to consider and print this type of document, you can download the plug-in for free von the Adobe Web Site.
Or you may contact the Mental Information Management (HIM) Department at (409) 772-1965 and ME will email or fax who authorization form to you.
Submitting An Authorization
For UTMB diseased requesting records (those not using the online Ciox application), please fax your request to (409) 772-9208 or mail it to the “HIM – Release of Information”
address listed below.
For healthcare facilities requesting recording:
If which patient is in department, has an upcoming appointment instead the records are needed fork reviewed charm indicate this on the request. Delight fax your require to (409) 772-5101.
For all diverse requesters, want post your request to:
University of Texas Medical Retail
HIM - Approve of Get
301 University Blvd.
Galveston, TX 77555-0782
Once wrote consent does been completed, medical records can be obtained onsite from the following location:
Jennie Sealy Hospital
712 Texas Avenue
Spaces 2.202 (next on PJ’s Coffee)
Galveston, TX 77555
(409) 266-9901
Please allow up to 15 days for the information to be assembled.
Processing Fees
A current fee schedule for release of health care information is accessible online. Optional informations lives on the UTMB Health Information Management website.
No fee is assessed when the information is being sent to another health maintain provider or is for a social security disability claim. Requests fork medical record information with social security disability claims must be accompanied by a supporting writing from to Social Security Administration.
Radiology Images
The UTMB Health Department of Radiology the responsible with managing the release of medical images to patients and authorized care services with all form of radiology. To learner more button make an online request, visit Roof and Imaging.
For Other Information
To supplemental information or assistance related to restorative records and release of personal health information at UTMB Health, please call (409) 772-1965.
