(808) 469-4982

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(808) 469-4982

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HEALTH INFORMATION MANAGEMENT / MEDICAL RECORDS

UNIVERSITY HEALTH PARTNERS OF HAWAII ALSO KNOWN AS UCERA (UNIVERSITY CLINICAL, EDUCATION AND RESEARCH ASSOCIATES)

Forms

Confidentiality

Medical Records

Forms

confidentiality

Medical Records

UHP Release of Information

Allows UHP to release medical records to a designated party.

Personal representation Authorization form UHP

Allows UHP staff to discuss medical records with your personal representatives.

Letter to Patients on Cures Act Information Sharing in EPIC MyChart

Allows UHP patients to access their medical records via HPH or Queens EPIC MyChart in mid-2021 (not all records released yet).

Please email signed copies of above forms to medrecs@ucera.org. Please note when our medical records department send out emails, it will be sent via our secure portal which may require creation of an account.  Subject line may have the word “ESECURE” in the title.

For questions or more information

Call (808) 469-4924. You may fax requests or information to (808) 447-3943 You may also e-mail us at medrecs@ucera.org.



If you wish to pay for medical records by mail

Please send payments to:
UHP Medical Records
677 Ala Moana Blvd, Suite 1001
Honolulu, HI 96813
Please make checks payable to UHP.

Our 677 Ala Moana Blvd office is open Monday – Friday: 8:00 a.m. to 4:30 p.m. (HST)

MEDICAL RECORDS SERVICES AND FREQUENTLY ASKED QUESTIONS

Most frequent questions and answers

If medical records are being requested to be sent to another provider, please complete the UHP Release of Information.

There will be no charge to send medical records to providers who will be continuing your care.

If you are to be the sole recipient of the medical records, please complete the UHP Release of information.

There may be a charge for your medical records.   The first 20 pages of the medical records are at no cost with subsequent pages being charged $0.50 per page. Pre-payment is required. Additional fees for certified mailing and retrieving archived records from storage.

Please contact Health Information Management for more pricing information.

Please contact your prior provider(s) and request the forms or ask which procedures they would want you to follow to request these records.

If the sending provider has no form or would want you to send a written request, please use our Release of Information for other non-UHP providers.

Yes, and for your protection we require a current government issued picture identification before releasing your medical record copies. Please complete the release of information form.

You will be contacted when the records are ready and informed of any costs associated with the request. Records are picked up at 677 Ala Moana Blvd Suite 1001 Honolulu HI, 96813 during our normal business ours: Monday – Friday: 8:00am to 4:00 pm (HST)

If you are not the patient, you would need to demonstrate that you meet one of the following:

  1. Legal guardian, such as in the case of a minor.
  2. Power of Attorney, specifying medical decision making capability.
  3. Other legal documents pointing jurisdiction such as court-appointed guardianship, surrogate, executor of estate, etc.
  4. Completion of personal authorization form allowing one to view medical records.  Please completed send form to Medical records at medrecs@ucera.org

Check, money order, exact cash or credit card.

Please contact Medical Records at medrecs@ucera.org or (808) 469-4924 to make arrangements.

Please make checks out to University Health Partners of Hawaii.

We accept Visa, Mastercard, Discover and American Express credit cards.  Please contact Medical Records at medrecs@ucera.org or (808) 469-4924 to make arrangements.

To request a change in your medical records, please contact medrecs@ucera.org for instructions and the process.  Please keep in mind that not all requests are approved and are subject to provider review and approval. 

808-469-4982

(808) 469-4982

Tomorrow's Healthcare Today