Obtaining Medical Records
Questions
Please call Health Information Management at (608) 263-6030, option 5, between 8am-4:30pm, Monday through Friday
Walk-in Hours
Service currently not available due to COVID-19.
For more information: COVID-19 Schedule and Clinic Updates
You can request copies of your medical records from most UW Health sites (see exceptions in the section below) by:
Option 1
- Complete and print the UW Health Authorization for Disclosure of Protected Health Information Form (pdf)
- Mailing or faxing the completed form to the following address:
CiOX Health
8501 Excelsior Dr.
Madison, WI 53717
Fax: (608) 203-4580
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 note:The UW Health authorization does authorize release of records containing psychiatric diagnoses or treatment, alcohol or drug abuse information, or HIV or AIDS information, unless you specify any exceptions on the line above the signature line. Please be aware that other authorizations may handle these protected conditions differently.
Cost for Obtaining Medical Records
There is no charge for copies of your medical record requested from and sent directly to other hospitals, clinics or physicians for further medical care. If the copies are needed for an upcoming doctor's appointment, the date of appointment should be documented on the request.
Due to the strict procedural and highly-regulated steps involved in the release of information process for requests directed by the patient, a fee is charged for this service:
Format of Original Patient Record | Cost for Delivery in Electronic Format (CD/USB/download or portal) | Cost for Record Delivered in Paper |
Electronic or Hybrid (part electronic, part paper) |
$6.50 flat fee for electronic portion, plus:
|
$0.07 per page for CIOX Health's labor cost to create and deliver the portion of record maintained in paper, plus:
|
Paper |
$0.07 per page for CIOX Health's labor cost to create and deliver the portion of record maintained in paper, plus:
|
$0.07 per page for CIOX Health's labor cost to create and deliver the portion of record maintained in paper, plus:
|
Requests from Persons Other Than the Patient
Wisconsin state statutes regulate the fees applied to requesters other than the patient. For actual costs, please contact Health Information Management. A quote will be sent to indicate the total cost for the copies that must be paid in full prior to records being released.
When will I receive my copies?
The average turnaround time is five business days. Copies of medical records will be released once payment is received. The following methods of payment will be accepted:
- Make payment online via credit or debit card at https://payportal.iodincorporated.com
- Mail payment to CIOX Health, ATTN: A/R Department, PO Box 19058 Green Bay, WI 54307-9058. Please make check or money order payable to CIOX Health.
- Make payment on-site at the UW Health CIOX Health at 8501 Excelsior Drive, Madison, WI, 53717. We accept credit or debit card, personal check or money order.
- Make payment via credit card by calling our Central Office at (866) 420-7455, ext. 512.