University Health Service
Immunization and Medical Records
PLEASE NOTE: To request the release of your medical or immunization records from Strong Memorial Hospital or the University of Rochester Medical Center (URMC), call 585-275-2605. UHS cannot help you with these requests.
Release of Your Immunization History
If you are, or have been, a University of Rochester student or a UHS primary care patient, you can request a copy of your immunization history by submitting your request via e-mail to email@example.com. No other form or signature is required. Immunization records will be forwarded to you by email, fax, or mail. When requesting your immunization history, please include your name, date of birth, current address, and phone number. Requests are generally processed within 2-5 business days. There is no charge to request your immunization history.
Release of Your UHS Medical Record
Medical information is routinely exchanged between healthcare professionals as deemed necessary by your healthcare provider to assure your safe, continuous care. If you are, or have been, a University of Rochester student or a UHS primary care patient, you can request a copy of your UHS medical record from the University Health Service. You will need to complete the UHS Authorization for Release of Medical Information Form before your records can be released by UHS. Please write to firstname.lastname@example.org to request the form. Once you have completed the form, it can be returned via e-mail, fax, mail, or hand delivery.
Fees: There is no charge for medical records and immunization records that are sent (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.
Requesting Medical Records from Another Provider/Health Care Facility
If you are a University of Rochester student or a UHS primary care patient, you can request a copy of your medical records from providers outside UHS by completing the UHS Authorization for Release of Medical Information Form. The information you are requesting can either be sent to you or to UHS where it can become part of your UHS medical record. Write to email@example.com to request the form. Return the form by e-mail, fax, mail, or hand delivery. Charges may be associated with your request for your medical records. We recommend checking with the health care provider or medical facility to ask about the fees associated with your request to have your medical record released.
Phone: (585) 275-1158
Fax: (585) 276-0149
Mail: University Health Service
Attn: UHS Medical Record Request
Box 270617, 738 Library Road
Rochester, New York 14627