Health Information / Medical Records
University Health Partners of Hawaii
also known as UCERA
(University Clinical, Education and Research Associates)
Health Information Management / Medical Records
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 email@example.com .
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 office location is open Monday – Friday: 8:00 a.m. to 4:30 p.m. (HST)
On this site, you will find forms needed to request your medical records, have medical records sent to another provider, and other similar services.
All information is kept strictly confidential.
Frequently Used Forms:
UHP Release of Information – allows UHP to release medical records to a designated party.
Release of Information for other non-UHP locations – requests outside records to be sent to UHP.
Personal representation Authorization form UHP – allows UHP staff to discuss medical records with your personal representatives.
Please email signed copies of above forms to firstname.lastname@example.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.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:
- Legal guardian, such as in the case of a minor.
- Power of Attorney, specifying medical decision making capability.
- Other legal documents pointing jurisdiction such as court-appointed guardianship, surrogate, executor of estate, etc.
- Completion of personal authorization form allowing one to view medical records. Please completed send form to Medical records at email@example.com
Check, money order, exact cash or credit card.
Please contact Medical Records at firstname.lastname@example.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 email@example.com or (808) 469-4924 to make arrangements.