University of Rochester

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Last modified: Monday, 12-Mar-2012 13:36:55 EDT

University Health Service (UHS)

Medical Records
Authorization for Release

Medical information is routinely exchanged between healthcare professionals as deemed necessary by your healthcare provider to assure your safe, continuous care. This information includes records sent to specialists, to emergency departments, hospitals, etc. There is no charge or special patient authorization required for this process.

Immunization Record Release

If you are requesting a copy of your immunization records only, you can submit your request by e-mail to No other form or signature is required. Generally, immunization records are copied and mailed within 3-5 business days.

Authorization for Release of Your Medical Record

Requests for copies of your University Health Service (UHS) medical record must be made in writing, must include your original signature, and must be hand-delivered, mailed, or faxed to UHS. You will need to complete the UHS Medical Record Release Form.

The following information is required to assure the correct information is released:


There is no charge for immunization histories, or records that are delivered (via fax or mail) directly to another doctor's office or medical care provider. There is a charge for records requested for personal reasons. The fee is $.75 per page or a flat $10.00 for 15 pages or less. Pre-payment is required prior to the release of the records. If requesting records for reasons other than direct medical care (e.g., insurance companies, attorneys), the requestor is responsible for payment of records.


Phone:      (585) 275-1158
Fax:          (585) 276-0149
Mail:         University Health Service
                 Attn: UHS Medical Record Request
                 Box 270617
                 Rochester, New York 14627

PLEASE NOTE: For the release of medical records from the University of Rochester Medical Center (URMC) or Strong Memorial Hospital, call 585-275-2605 (Strong Health Information Management).