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class="title" id="page-title">Medical Records Requests</h1> <div class="content-top"> </div> <div id="main-wrapper"> <div id="main" class="clearfix"> <div id="content" class="column"> <div class="inside"> <a id="main-content"></a> <div class="tabs"></div> <div class="region region-content"> <div id="block-system-main" class="block block-system"> <div class="content"> <div id="node-136" class="node node-page slider-secondary clearfix" about="/services/medical-records-requests" typeof="sioc:Item foaf:Document"> <span property="dc:title" content="Medical Records Requests" class="rdf-meta element-hidden"></span><span property="sioc:num_replies" content="0" datatype="xsd:integer" class="rdf-meta element-hidden"></span> <div class="content"> <div class="field field-name-field-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><blockquote><strong>**Update your gender identity and pronoun**</strong><br /> Please let us know your gender identity and pronoun. You can update this demographic information any time on the <a href="https://myhealthrecord.ucsf.edu/">MyHealthRecord.ucsf.edu</a> medical record portal under the PROFILE section on the left.</blockquote> <p><strong>You may obtain a copy of your Student Health Primary Care or Mental Health medical records at anytime.</strong> To request a copy of your medical records or to give another person access to your records, patients can submit an Authorization for Release of Medical/Billing Information online, by fax, by mail, or in-person. However, many of your records are already available on the <a href="https://myhealthrecord.ucsf.edu/" target="_blank">MyHealthRecord Patient Portal</a> and do not require prior authorization to view.</p> <h2>Records Available on the Patient Portal</h2> <p>Patients can access the records below without a written authorization by logging into <a href="https://myhealthrecord.ucsf.edu/" target="_blank">MyHealthRecord Patient Portal</a>:</p> <ul> <li>Lab test results</li> <li>Immunizations</li> <li>Referrals</li> <li>Letters</li> <li>Secure Messages</li> </ul> <div class="collapse-item"> <div aria-expanded="false" class="header-text" role="button" tabindex="0"> <p><label for="accordion-1">Student Request</label></p> </div> <div aria-hidden="true" class="content-text" role="region" tabindex="-1"> <p><strong>Immunization record: </strong><br /> You may obtain immunization records at any time. The fastest, easiest way is to <a href="https://myhealthrecord.ucsf.edu/">log on to MyHealthRecord, click on the “Immunization” section and print your own copy</a>. If you are unable to access the records online, you may visit SMHW in person or call <strong>(415) 476-1281, option 1 </strong>to request your records. There is no fee for printing immunization records.<br /> </p> <p><strong>Medical record: </strong><br /> You may obtain a copy of your medical records at any time. Students may <a href="https://myhealthrecord.ucsf.edu/messages_home.aspx" target="_blank">log on to MyHealthRecord to send a secure message and select the "<b>Request Medical Records</b> - Release of Information (ROI) eForm"</a> option. If you are unable to access the records online, you may visit SMHW in person or call <strong>(415) 476-1281, option 1 </strong>to request your records. Please note that obtaining medical records can take up to two weeks.</p> </div> </div> <div class="collapse-item"> <div aria-expanded="false" class="header-text" role="button" tabindex="0"> <p><label for="accordion-2">Healthcare Provider Request</label></p> </div> <div aria-hidden="true" class="content-text" role="region" tabindex="-1"> <p>If a healthcare organization is requesting your medical records, please complete the <a href="/sites/g/files/tkssra9906/f/wysiwyg/pdfs/Authorization_for_Release_of_Health_Information.pdf" target="_blank">authorization for release of health information form</a> and fax to SMHW at <strong>(415) 476-1683</strong>. There is no fee.</p> </div> </div> <div class="collapse-item"> <div aria-expanded="false" class="header-text" role="button" tabindex="0"> <p><label for="accordion-3">Insurance Company Request</label></p> </div> <div aria-hidden="true" class="content-text" role="region" tabindex="-1"> <p>An insurance company may request a copy of your medical records when you apply for coverage. Your medical records cannot be released without your consent. If an insurance company requests a copy of your records, please complete the <a href="/sites/g/files/tkssra9906/f/wysiwyg/pdfs/Authorization_for_Release_of_Health_Information.pdf" target="_blank">authorization for release of health information form</a> and have them submit it to SMHW. There is a $50 fee paid for by the insurance company.</p> </div> </div> </div></div></div> </div> </div> </div> </div> </div> </div> </div> <div id="sidebar" class="column"> <div class="sidebar_top"> <div class="region region-sidebar-top"> <div id="block-menu-block-2" class="block block-menu-block"> <h3><a href="/services/overview-services" class="active-trail">Services</a></h3> <div class="content"> <div class="menu-block-wrapper menu-block-2 menu-name-main-menu parent-mlid-0 menu-level-2"> <ul class="menu"><li class="first leaf menu-mlid-1981"><a href="/services/overview-services" title="">Overview of Services</a></li> <li class="leaf menu-mlid-1856"><a href="/service/lets-talk">Let's Talk</a></li> <li class="leaf menu-mlid-2136"><a href="https://studentmentalhealth.ucsf.edu/services/overview-services#BriefConsult" title="">Brief Consult</a></li> <li class="leaf menu-mlid-2001"><a href="/services/brief-counseling">Brief Counseling</a></li> <li class="leaf menu-mlid-1996"><a 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Student Mental Health and Wellbeing</strong></p> <div aria-label="Student Health and Counseling Contact Information Footer" class="wysiwyg_threecols layout--33-33-33" role="region"> <div class="wysiwyg_threecols--first bg--undefined bg--transparent"> <p><strong>Parnassus</strong><br /> 500 Parnassus Ave.,<br /> level P8, room 005<br /> San Francisco, CA 94143<br /> <b>Telephone:</b> (415) 476-1281<br /> <strong>email: </strong><a href="/cdn-cgi/l/email-protection#4e3d2326390e3b2d3d28602b2a3b"><span class="__cf_email__" data-cfemail="196a74716e596c7a6a7f377c7d6c">[email protected]</span></a></p> <p> </p> </div> <div class="wysiwyg_threecols--second bg--undefined bg--transparent"> <p><strong>Mission Bay</strong><br /> 1675 Owens St.,<br /> Rutter Center, 3rd Floor, room 330<br /> San Francisco, CA 94158<br /> <strong>Telephone:</strong> (415) 476-1281<br /> <strong>email: </strong><a href="/cdn-cgi/l/email-protection#d8abb5b0af98adbbabbef6bdbcad"><span class="__cf_email__" data-cfemail="23504e4b5463564050450d464756">[email protected]</span></a></p> <p> </p> </div> <div class="wysiwyg_threecols--third bg--undefined bg--transparent"> <p class="par-biggest">Key Resources</p> <p><a href="https://success.ucsf.edu/" target="_blank">Student Success Center</a></p> <p><a href="https://careadvocate.ucsf.edu/" target="_blank">CARE Advocate</a></p> <p><a href="https://sds.ucsf.edu/" target="_blank">Student Disability Services</a></p> <p><a href="https://diversity.ucsf.edu/" target="_blank">Office of Diversity and Outreach</a></p> <p><a href="https://studentmentalhealth.ucsf.edu/sexual-misconduct-reporting" target="_blank">Sexual Misconduct Reporting</a></p> </div> </div> <p>► <em><a href="/about/staff-profiles">Meet the staff.</a></em> </p> </div> </div> </div> <div class="footer-bottom"> <nav aria-label="Footer Navigation" class="footer--navigation"> <ul> <li><a href="/contactus">Contact Us</a></li> <li><a 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