American Family Children's Hospital

Obtaining Medical Images

Contact Information

(608) 265-7118

Fax: (608) 263-0146

UW Health patients can request copies of medical images for procedures performed at UW Health clinics by:
Option 1
  1. Downloading and completing the UW Health Authorization for Disclosure of Protected Health Information Form (pdf) form.
  2. Mailing or faxing the form to:
Enterprise Imaging-Image Management
UW Health Record Center
8501 Excelsior Drive
Madison, WI 53717
Fax: (608) 263-0146

Option 2


MyChart users can complete a Release of Information request by logging into MyChart, selecting Other Resources and then selecting Request My Medical Records.


Please call (608) 265-7118 with questions.
There is no charge to mail images to other hospitals, clinics or physicians for further medical care. Patients may also pick up images (on DVD) at the address listed above. Requests for legal or insurance matters will be charged a per-disc fee. Please contact Image Management for current pricing.