Obtaining Medical Images from UW Hospital and Clinics
Fax: (608) 263-0146
- Downloading and completing the UW Health Authorization for Disclosure of Protected Health Information Form (pdf) form.
- Mailing or faxing the form to:
Enterprise Imaging-Image ManagementUW Hospital and Clinics Record Center8501 Excelsior DriveMadison, WI 53717Fax: (608) 263-0146
MyChart users can complete a Release of Information request by logging into MyChart, selecting Other Resources and then selecting Request My Medical Records.