At Shriners Hospitals for Children, the health and safety of our patients, families, volunteers and staff is our top priority. With the evolving situation regarding COVID-19, we are closely monitoring updates from local health departments and the Centers for Disease Control and Prevention (CDC), and are actively following their recommendations.

If your child has an upcoming appointment, please contact your local Shriners Hospitals for Children location.

What to expect at Shriners Hospitals for Children — Salt Lake City.

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Medical records and insurance

Medical records and insurance

Medical records

Shriners Hospitals for Children — Salt Lake City values privacy rights and takes many precautions to safeguard health information. We want to ensure that your access to medical record information is as convenient as possible and that authorized individuals can also access necessary information.

The medical record contains documentation by all physicians and health care providers involved in your care and treatment while at Shriners Hospitals for Children — Salt Lake City.

How do I receive medical record information?

Medical records are confidential. Therefore, we must confirm your identity before releasing a copy of the medical record.

To request copies of your own medical records, or to authorize the disclosure of your medical records to another individual or third party, you will need to complete a HIPAA compliant form and submit your request in writing to the Health Information Services (HIS) department. Note: Please be sure to complete all sections when filling out the form.

Patients, legal guardians and personal representatives with legal authority to make health care decisions on behalf of the individual may obtain medical record copies by one of two methods:

  1. Completing a Patient Request for Information form: (English) (Español), or
  2. Submitting a request to release the medical record through the Shriners Hospitals for Children Patient Portal. (Note: This process does not require completion of the form listed above.)
    • If you already have access to the Shriners Hospitals for Children Patient Portal, see instructions here.
    • If you do not yet have access to the Shriners Hospitals for Children Patient Portal, contact the Shriners Hospitals for Children registration staff or care manager at this location to request an invitation.

Third parties may obtain medical record copies by submitting an Authorization for Disclosure of Health Information form that is completed and signed by the patient and/or legal guardian: (English) (Español).

To obtain a copy of the medical record, drop off the completed and signed form at the health information management department (medical records) at Shriners Hospitals for Children — Salt Lake City, Monday through Friday between 8 a.m. and 4:30 p.m. You may also email or fax the completed/signed form to 801-536-3867.

Please be aware that it may take five to seven business days to receive the records by mail. It may be faster to have the pertinent records sent directly to the primary care provider or other medical providers at your request.

May I access medical records online?

Yes, you may access personal medical information online via the patient portal. The next time you visit the Salt Lake City Shriners Hospital, ask to speak to our child life specialist for one-on-one training on how to use the patient portal.

How is health information protected and kept confidential? 

Read the Shriners Hospitals for Children privacy policy.

Contact information for medical records 

If you have additional questions, you may call our release of information specialist at 801-536-3621. Our fax number is 801-536-3867.

Insurance

At Shriners Hospitals for Children — Salt Lake City, there are no barriers to care. Doctors determine the course of care, which is provided regardless of the families' ability to pay.

If the patient is covered by private insurance or a state funding plan, the hospital will bill and accept reimbursement for services provided at our hospital. However, insurance coverage is not needed for care. Any child under 18 with a medical condition that is within the hospital’s scope of services is eligible for care.

For insurance-related questions, please call 801-536-3684.

Please have all insurance information such as primary, secondary or tertiary insurance coverage readily available at the time of scheduling an appointment and upon arrival at your confirmed appointment.