Release of Information

Our 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 below:

Download and complete the appropriate form; sign and mail to:
University Health Services
150 Infirmary Way
Amherst, MA 01003-9288
Attn: Medical Release

Or, fax the form to (413) 577-5440.

Allow 10 business days for your request to be fulfilled.


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.


 .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.