Records of deceased patients may be released to the designated Personal Representative/Successor Personal Representative as stated in a written will or by the Probate court as either the Executor or Administrator of the deceased person’s estate the beneficiary of the patient’s life insurance policy and the Heir at Law (a person who is legally entitled by state law to inherit property of a deceased person when that person dies without a valid will).

If the Family & Friends List is NOT completed, members of the patient’s health care team may still, subject to their professional judgment, share information that is directly relevant about the patient with the patient’s family members or friends who are involved in the care of the patient and/or payment for healthcare Requests for Medical Records of Deceased Patients This form documents my request to allow family members and/or friends to be involved in verbal discussions regarding my health care. Other Forms and Requests Family and Friends List for Outpatient Clinics Only See the ROI Authorization form for details. Records requested in paper or other formats as well as releasing to any third party other than the patient will include fees as allowed under State of Michigan statute and updated annually. Medical records sent to you directly through your MyUofMHealth Patient Portal also do not have any fees. There are no fees for sending your records to another physician or health care facility for the continuation of your care. Authorizations to release sensitive information must refer specifically to the information that is to be released. Additionally, your medical record may contain sensitive information protected under federal and state regulations (including information about psychiatric, drug and/or alcohol abuse, HIV/AIDS, and or sexual abuse.

We are committed to protecting your privacy and do not fax PHI (protected health information) per health system policy.

Mail to: Revenue Cycle Mid Service (HIM), Release of Information (ROI) Unit, 3621 South State Street 700 KMS Place, Ann Arbor MI 48108-1633.MyUofMHealth Patient Portal Medical Record Request form.Records needed for medical emergencies will be faxed directly to a physician or medical facility. Our average turnaround time for processing requests is five to seven business days (some exceptions apply and Radiology exams on CD require separate processing explained below). mail and fees may apply (see fee schedule on ROI form). Records requested in paper will be sent through the U.S. Authorization to Release Information from UMHS form (PDF) (español).To request (electronic or paper) copies of your Michigan Medicine health information, you can use this ROI form: Some of your health information is available online through our secure MyUofMHealth Patient Portal. See When and Why We Share Your Health Information for more information about how we share patient information with other health care providers. Also, there are other ways that patient information is shared electronically with health care providers outside of U of M. Observations by nurses and other members of your health care teamĬan my doctor outside of U of M access my records?Īt the University of Michigan, we participate in a state-wide health information exchange (HIE) that allows other doctors and hospitals outside of U of M to access information that we’ve collected about patients.Physician reports from examinations, surgery, treatment and medications.Results of all laboratory tests, X-rays, other diagnostic studies, and medical treatment you received while you were hospitalized or treated as an outpatient.Your medical record includes the following:

Find my medical records out of state