Requesting Copies of Your Medical Records
Because your medical information is confidential and requires a high level of security, a written request with
your signature is required prior to releasing copies of medical records. Requests for copies of medical or
mental health information are completed within 7-10 working days
upon receipt of a valid, signed release
form. There is no charge for copies of medical records for continuity of health care.
All medical records of patients seen at Norris Health Center are retained for 11 years after the last patient
visit. After 11 years of inactivity, medical records are confidentially destroyed.
Medical Record Release Forms
Directions for Completing the Medical Record Release Forms
- Download the appropriate release form (medical or
mental health) and print it out on any printer.
- Complete the release form in its entirety. Sign and date the bottom of the form. If you have any
questions on how to fill out the release form please call Medical Records Services at (414) 229-4716.
*NOTE: If any portion of the form is incomplete, it will be returned to the requestor and cause delay in processing.
- Mail the authorization form to:
Medical Records/Norris Health Center
University of WI-Milwaukee
PO Box 413
Milwaukee, WI 53201-0413
Or fax the form to: 414-229-4161