Contact us
- Fax: (385) 215-7047
- Email: MedRecReq@r1rcm.com
- Phone: Medical Records Request Line (385) 533-0440
- Mail: PO Box 571069, Murray, UT 84157
For patients in Utah or Idaho only.
Choose the option that best fits your needs. For patients in Utah and Idaho only.
If you have questions, please contact the Medical Records Request Line at (385) 533-0440.
The Patient Portal provides access to a limited set of your health record at no cost to you. Those records include history and physicals, discharge summaries, lab results, image reports, ED notes and progress notes.
Download and print the form:
Return your completed form via one of the following options:
Charges may apply for medical record copies or CD/DVD radiology images released. Medical records requests will be filled within 30 days of your request.
Copies of medical records may be released to a third party (someone other than the patient) upon receipt of written authorization from the patient or the patient’s legal guardian.
If you have questions, please contact the Medical Records Request Line at 385-533-0440.
Option 1: Secure website
Option 2: Download and print the form
Return your completed form via one of the following options:
Copies of medical records can be sent to another healthcare provider free of charge. Ask your provider to request your records from Intermountain directly for the fastest processing. If you submit your own request, be sure to indicate on the form that the purpose is for CONTINUITY OF CARE.
If there is an error in your medical record, you have the right to request an amendment. Requests must be made in writing, and you will receive a response within 60 days. In some cases, additional time is needed to complete the request. You will be notified if an extension is needed.
Download the print the form:
Return your completed form via one of the following options:
If you have questions please contact the Medical Records Request Line, at (385) 533-0440.
If you have questions or issues regarding the medical records release of information process, please contact the Medical Records Request Line.
View contact information and directions to medical records offices in Utah.
View all hospital locations.