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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.

Request Records - English

Request Records - Spanish

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.