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.
To authorize the release of your records, complete the Authorization to Release Medical Records (also available in Spanish), then you may submit the form by email, fax or mail. Charges may apply.
Subpoenas and court orders
All subpoenas and court orders must be submitted to the facility directly. All legal requests should be emailed to LegalRequests-IMH.rco@r1rcm.com for processing. Please do not send subpoenas or court orders to release of information.
Share your records with another medical provider
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.
All other 3rd parties
Copies of medical records can be sent to any other individual or organization as directed by the patient or their legal guardian. Additional fees apply as allowed by the state.
Submission options:
If you have questions, please contact the Medical Records Request Line at 385-533-0440.