Authorization Release — Enter the name of the doctors, medical facilities, or other health providers, and the name of the form. Release information to — Enter HHSC or list the provider. This ...

Click here for instructions on opening this form. To serve as an authorization to release medical information HHSC has about an applicant. To authorize HHSC to release medical information about an ...

please complete the electronic “Authorization to Release Health Information” form through the MyCUHealth portal. Record requests will be processed within 30 days. If you would like a family member or ...

Your records will be mailed within 15 business days after Health Information Management receives the form. You have the right to cancel your Authorization to Release Patient Health Information. To do ...

A copy of your confidential medical records can be provided to your insurance, or sent to an employer, another university, or continuing care provider after you sign a release of information form, ...

Download the "Authorization of Release of Information" form below and mail, fax or personally deliver it to one of our Health Information Management (HIM) locations listed below. If you have any ...

Release of information from a medical record must meet ... You can talk about your concerns then, and, if needed, request an amendment of health information form. An accepted amendment will be made ...

Current students wishing to allow others access to their medical records may submit a completed authorization form or locate an electronic form ... please provide a copy to PUSH Health Information ...

University Health and Counseling (UH&CS) adhere to strict professional standards of confidentiality and do not share your Protected Health Information (PHI) without your prior consent, except in cases ...

or at one of our health centers in Missouri and would like to request a copy of your health records or have us send your information to another provider, please read the following: If you want to ...