#MY HEALTH REPORT FULL#

Make payment on-site at the UW Health CIOX Health at 8501 Excelsior Drive, Madison, WI, 53717. Mail payment to: CIOX Health, ATTN: A/R Department PO Box 19058 Green Bay, WI 54307-9058 Please make check or money order payable to CIOX Health. Make payment online via credit or debit card The following methods of payment will be accepted: Copies of medical records will be released once payment is received. The average turnaround time is five business days.

#MY HEALTH REPORT FULL#

A quote will be sent to indicate the total cost for the copies that must be paid in full prior to records being released. For actual costs, please contact Health Information Management. Wisconsin state statutes regulate the fees applied to requesters other than the patient. Requests from persons other than the patient Please be aware that other authorizations may handle these protected conditions differently. Please note: The UW Health authorization does authorize release of records containing psychiatric diagnoses or treatment, alcohol or drug abuse information, or HIV or AIDS information, unless you specify any exceptions on the line above the signature line. M圜hart users can complete a Release of Information request by selecting Other Resources and then selecting Request My Medical Records. Mailing or faxing the completed form to the following address: CiOX Health 8501 Excelsior Dr. You can request copies of your medical records from most UW Health sites (see exceptions in the section below) by: Option 1Ĭomplete and print the UW Health Authorization for Disclosure of Protected Health Information Form (pdf) UW Health Rehabilitation Hospital (offered as its own option on the UW Health authorization form) To request medical records and images from the following locations, follow the same process, but list the name of the location in the 'Other Healthcare Organization' option, if you are using UW Health's authorization form: Select the appropriate link from the Requesting Medical Records and Images options below to request your medical records from:

My health report