Medical Records

Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), individuals have the right to access, inspect, and/or obtain a copy of their Protected Health Information (PHI).

University Health System is committed to allowing individuals to exercise their rights under HIPAA and other applicable federal and state laws and will take necessary steps to address individual requests to access, inspect, and/or obtain a copy of their health information in a timely and professional manner.

All requests for the disclosure of Protected Health Information (PHI) are handled by Health Information Services (Medical Record Department), Release of Information Section located at the University Health System – Robert B. Green Campus.

To Request Medical Records: All request for medical records are to be sent with a HIPAA Compliant Authorization form. This form is also available at all University Health System locations in the Medical Records Department. All HIPAA Compliant Authorizations should be mailed to the following address:

University Health System
Attention: Release of Information
Medical Records Department/MS-26-2
4502 Medical Drive
San Antonio, Texas 78229-4496

Requests can also be sent by fax to: (210) 358-5936. For status of requests and other information, please call us at (210) 358-3540.

Enterprise records will be processed for services rendered to your patient at the locations listed below:

• University Hospital
• University Health System – Robert B. Green Campus
• University Health System – Texas Diabetes Institute
• University Family Health Center – North
• University Family Health Center – Northwest
• University Family Health Center – Southeast
• University Family Health Center – Southwest
• University Health System – Preventive Health Clinics
• University Health System – Dialysis Centers
• Detention Health Care Services – Adult
• Detention Health Care Services – Juvenile
• Detention Health Care Services – Southton RTC
• Community Medicine Associates – Health Solutions

Fee for Service:

As you can assume, the cost for the reproduction of medical records is quite extensive. Therefore, a pre-payment may be required based on individual requests. The first 10 pages are free. A pre-payment invoice will be mail to you and payment must be received prior to the processing of the request.

Send payments for Medical Records to:

University Health System
Attention: Medical Records, MS 26-2
P.O. Box 2476
San Antonio, Texas 78298-2476

Contact our office at (210) 358-3540 with any additional questions. Thank you for letting us serve you.

Authorization Forms

• Authorization to Access, Inspect and/or Obtain a Copy of Health Information - ENGLISH
  
  
• Authorization to Access, Inspect and/or Obtain a Copy of Health Information - SPANISH
• Request for Amendment of Protected Health Information
• Revocation of Authorization for Release of Protected Health Information
  
  
• Request for Restrictions on Use/Disclosure of PHI for Treatment, Payment and Health Care Operations Request for an Accounting of Disclosures