Release of Information
Our Release of Information staff will be happy to assist you with requests for your medical records.
All requests must be received in writing using one of the forms listed in the green box to the right.
Download and complete the form; sign and mail to:
University Health Services
150 Infirmary Way
Amherst, MA 01003-9288
Attn: Medical Release
Or, fax the form to UHS, (413) 577-5440.
Allow 10 business days for your request to be fulfilled.
Costs
There is no cost to send copies of medical records directly to a non-UHS healthcare provider.
If copies are for a patient's personal use, for an insurance company or for legal purposes, a fee will be charged.
Charges
The minimum charge for copies of records is $15.
Additional fees per page:
.50 per page up to 100 pages; .25 per page beyond 100 pages.
Additional fees may be added for postage.
Payment is due upon receipt of records; cash, check and credit cards are accepted.
