Obtaining Copies of Your Medical Records Release of Information (ROI) Records can be released to anyone that the patient authorizes (in writing).

Please complete this form in its entirety so we can help you receive the information you are requesting. 1. This authorization is voluntary.

Please contact the Release of Information Unit at (734) 936-5490 to determine the documentation that will be required to process your request. SUBMITTING ...

In addition to Authorization to Release Patient Information form, the Heir at Law should complete the Affidavit of Heir form below. Affidavit of Heir Form ...

You can download the authorization form here(link is external) or call Release of Information at 734-936-5490. A valid authorization MUST contain the following ...

Once released outside Michigan Medicine, my information will no longer be protected. I release Michigan Medicine, its agents, employees and any other persons ...

a) the custodian will make the medical information reasonably available for inspection and copying, or b) the custodian will deliver to the requesting party ...

To request a copy of your medical records, download, print and complete the UM Health-West Authorization Form. Incomplete forms will be denied.

Regarding patients and the news media: Patients who will be interviewed, filmed or photographed within a Michigan Medicine facility MUST sign a release form ...

A fast, free way to view your information is to sign up for a MyChart patient portal account. All other requests require a signed release of information.