How to request a copy of your medical record
Questions related to release of records may be directed to Intermountain Health Utah – Release of Information at 385-533-0440 or you can visit your local Intermountain Health hospital or clinic.
Option 1: Intermountain Health App (MyChart)
The Intermountain Health's MyChart provides access to a limited set of your health record at no cost to you. Those records include history and physicals, discharge summaries, lab results, image reports, ED notes and progress notes.
Option 2: Printable form
Download and print the form:
- English - Patient Request to Access Medical Records Form (PDF)
- Spanish - Patient Request to Access Medical Records Form (PDF)
Return your completed form via one of the following options:
Mail: Intermountain Health, Release of Information
PO Box 571069
Murray, UT 84157
Fax: (385) 215-7047
Email: MedRecReq@r1rcm.com
Walk in: Medical Records Department Directory
Charges may apply for medical record copies or CD/DVD radiology images released. Medical records requests will be filled within 30 days of your request.