COVID Information Learn More

Medical Records

Due to the concern of keeping everyone safe and healthy during the COVID 19 crisis, we are not accepting walk-in requests for patients that are COVID positive or pending COVID results. 

Please call 801.807.7540 for more information.  See below to request records by fax or email.

 

Medical Records

Davis Hospital and Medical Center maintains medical records for each patient treated at the hospital. To request your medical records, please visit our Health Information Management department on the first floor of the hospital between the hours of 9:00 a.m. – 5:00 p.m., Monday through Friday. Call 801-807-7540 for more information.

Prior to receiving copies of records or authorizing records to be disclosed, you will be asked to complete the appropriate form and provide proof of your identification with a valid, government-issued photo ID.

The appropriate form, along with a copy of your proof of identification, may be faxed to 801-807-7830 or emailed to [email protected]

Requests for medical records generally take up to 72 hours to process.

Request Records

The following form should be used for requests to inspect or obtain a copy of one’s own records or those of a patient for whom you are the legal representative.

Authorization for Use and Disclosure of PHI English
Authorization for Use and Disclosure of PHI Spanish