Authorization of Release of Information
Obtaining Copies of Your Medical Record
Clinical Care Forms
Authorization for Sharing of Information: Patient to Patient
Release to Inspector Access
Request for Amendment of Health Information
Non-HIS Preapproved Release of Information Scenarios/0340
Request for Non-Disclosure of Health Information to Health Plan
Request for Medical Records (non-patient care purposes)
Request for an Accounting of Disclosures
Request for Restriction on Uses & Disclosures of Health Information
UVaHS Medical Records Request Options
Authorization for Access by Hospital Education
Parent/Legal Guardian Proxy Access to MyChart
Parent/Legal Guardian Proxy Access to MyChart (Spanish)
Adult Proxy Access to MyChart by Adult
Adult Proxy Access to MyChart by Caregivers