University Health Service

UHS front desk

To access your own health records online via our secure PATIENT PORTAL:

Some of your health information is available online through our secure patient portal, including test results and visit summaries.  (Note that records prior to August 2012 are NOT in the portal.)

To use the portal, you will need an account, which requires your UHS medical record number (MRN) and takes a few days to activate.

Learn more about the Patient Portal or go directly to MyUofMHealth.org.

To request PAPER COPIES of your UHS health information:

In person: 
Visit Health Information Management Services (basement level of UHS) and complete an "Authorization to Release Protected Health Information" (form below). Picture identification is required when requesting or picking up health records in person. See Hours below.

By mail or fax:

Print and complete our form:

Authorization to Release Protected Health Information (PDF)

or otherwise send a written request addressed to UHS, including:

  • Your full name
  • Your date of birth
  • Your identification number
  • Specific report(s) needed
  • To whom the information is to be sent
  • Address where information is to be sent
  • Reason for request (optional)
  • Date by which information is needed (if applicable)
  • Date of request
  • Your daytime phone number (in case we have questions)
  • "I may revoke this authorization except if UHS has already acted on it."
  • "This authorization will expire in 60 days."
  • Your signature (required)

Mail to:

University Health Service 
207 Fletcher St. 
Ann Arbor, Michigan 48109-1050 
Attn: Correspondence

Fax: 734-936-3063

When requesting a copy of your health records, please allow at least 5 days for the record to leave UHS.

For requests to allow family members/others to be involved in VERBAL DISCUSSIONS regarding health care:

In person: Visit Health Information Management Services (basement level of UHS) and complete an "Authorization for Verbal Communication of Protected Health Information" (form below). 

By mail or fax: Print and complete our form:

Authorization for Verbal Communication of Protected Health Information (PDF)

Mail to:

University Health Service 
207 Fletcher St. 
Ann Arbor, Michigan 48109-1050 
Attn: Correspondence

Fax: 734-936-3063

For further information, call the UHS Health Information Management Services at 734-936-3275.

Regarding release of your health records:

University Health Service recognizes and supports patients' rights to confidential medical care. Our staff is committed to ensuring your confidentiality, and all staff, both permanent and temporary, sign agreements to that effect.

  • If you are 18 years old or older, or an emancipated minor (defined under Michigan law as being married, emancipated through a court order, or on active duty in the armed forces prior to age 18), your health records will be released only with your written consent.
  • If you are less than 18 years old, UHS is obligated by law to release health records (except related to sexually transmitted diseases, contraception and pregnancy testing) to your parents or guardian if they request them.

Requests for entire record may include alcohol and drug abuse/treatment; psychological and social work counseling; HIV or AIDS or ARC; communicable disease or infection including sexually transmitted diseases, venereal diseases and hepatitis; and demographic information.

A request for an entire health record does not routinely include records sent to UHS from a previous health care provider. 


Location: Suite 0130, basement level

Telephone: 734-936-3275

Department hours:*

 
September – April
May - August
Monday, Tuesday, Wednesday
8 AM – 5 PM
8 AM – 4:30 PM
Thursday
9 AM – 5 PM
9 AM – 4:30 PM
Friday
8 AM – 4:30 PM
8 AM – 4:30 PM
Saturday, Sunday
Closed
Closed