The form may be mailed, faxed or returned to a local office. Image and retain a copy of the form in the case record. Case Name — Enter the name of the person associated with the case. Case No. — Enter ...

A copy of your confidential medical records can be provided to your insurance, or sent to an employer, another university, or continuing care provider after you sign a release of information form, ...

Some forms cannot be viewed in a web browser and must be opened in Adobe Acrobat Reader on your desktop system. Click here for instructions on opening this form. To serve as an authorization to ...

please complete the electronic “Authorization to Release Health Information” form through the MyCUHealth portal. Record requests will be processed within 30 days. If you would like a family member or ...