Medical Records
Preparing For Your Stay
Jordan Valley Medical Center – West Valley Campus, maintains medical records for each patient treated at the hospital. To request your medical records, please visit our Health Information Management department between the hours of 8:30 a.m. – 4:30 p.m., Monday through Friday, or call 801-964-3272.
Prior to receiving copies of records or authorizing records to be disclosed, you will be asked to complete the appropriate form and provide proof of your identification with a valid, government issued photo ID.
The appropriate form, along with a copy of your proof of identification, may be faxed to 801-964-3467.
Requests for medical records generally take up to 72 hours to process.
Request Records
The following form should be used for requests to inspect or obtain a copy of one’s own records or those of a patient for whom you are the legal representative.
Release Records
The following form should be used for requests to disclose medical records to a third party.
Release Records - English & Spanish
Records needed for continuing care purposes do not require the completion of any of the above referenced forms, but rather will be sent directly to your provider.
Steward Health Care