Medical Records

When you arrive at UC Berkeley, you may wish to have your medical records transferred to the Tang Center from your previous health care provider.

You can print a release form for transfers of records to UHS or pick up a copy of the form from Medical Records. Complete the form and mail it to your previous health care provider.

Request What to Do
Transfer medical records 
to the Tang Center

When you arrive at UC Berkeley, you may wish to have your medical records transferred to the Tang Center from your previous health care provider. You can print a release form for transfers of records to UHS or pick up a copy of the form from Medical Records. Complete the form and mail it or deliver it to your previous health care provider.

Transfer medical records 
from Tang to new health 
care provider

After you leave UC Berkeley, you may request that your records be sent to your new health care provider. You can print a release form for transfer or records from UHS (pdf) or pick up a copy of the form at UHS. The form must be completed in its entirety.

To submit the completed form:

Mail to:
UHS Medical Records
2222 Bancroft Way
Berkeley, CA 94720-4300

Or fax to: (510) 642-1801

Or drop off the form at the Medical Records department in the second floor atrium of the Tang Center.

There is no fee to have your medical or mental health records sent to another health care provider.

Obtain medical or mental records for personal use

You may request a personal copy of your medical or mental health records. You may print a form for release of health records from UHS (pdf) or pick up a copy of the form at UHS. The form must be completed in its entirety. You may mail the completed form to Medical Records.

Please note for records released to yourself, there is no fee if the medical or mental health records that originated in a paper format. However, for records that originate as electronic medical records and are more than two pages, there is a $6.50 fee. 

Electronic records are usually released on a flash drive unless paper is requested. If a fee is applicable, fees must be paid up front prior to processing; requests will not be processed until payment is received. Contact the UHS Cashier Office by calling (510) 642-8448 to pay or make arrangement for payment in person on the first floor of Tang.

Depending on time of year, processing may take 14 business days. If your last UHS visit date was prior to 2010, your chart is filed at our offsite storage facility. Please allow up to 5 weeks for processing time.

Request medical or mental records for other uses

You may request a copy of your medical or mental health records to be sent to a third party. This may include for example records you want sent to an insurance company or government office. 

You may print a form for release of health records from UHS (pdf) or pick up a copy of the form at UHS. The form must be completed in its entirety. You may mail the completed form to Medical Records.

Please note that for records of more than 2 pages, there is a duplication fee of $26 for up to 100 pages, plus $10 for each additional 100-page increment, or fraction thereof. An additional fee applies for a professional review or preparation of a record summary. Counseling & Psychological Services records staff will inform you of the total cost once the form is received. There is no fee to have your medical or mental health records sent directly to another health care provider.

Records are released on a flash drive unless paper is requested. Fees must be paid up front prior to processing; requests will not be processed until payment is received. Contact the UHS Cashier Office by calling (510) 642-8448 to pay or make arrangement for payment in person on the first floor of Tang.

Depending on time of year, processing may take 14 business days. If your last UHS visit date was prior to 2010, your chart is filed at our offsite storage facility. Please allow up to 5 weeks for processing time.

Confidentiality Patient privacy is a priority at UHS. All mental health records are confidential and cannot be released without the written permission of the patient, except as required by law. For more information, see the UHS Notice of Privacy Practices.
Revocation of Release Form To revoke a previously submitted release of information form, please complete this form. The revocation form must be signed by you or your patient representative, and delivered to Medical Records Department, University Health Services, 2222 Bancroft Way, Berkeley, CA 94720-4300. The revocation will take effect when UHS receives it, except to the extent UHS or others have already relied on it.
Restricting use of medical records or disclosure of medical records You may request a special restriction on the use or disclosure of your medical records. To request a special restriction, please submit this Restriction Form to the Medical Records department for review and determination.
Amending your record If you feel there is an error in your medical record, you may request to amend your records. To request an amendment, please submit the Amendment Form (pdf) to the Medical Records department. Your request will be reviewed and responded to as appropriate.
Accounting of Disclosures You may request an accounting of how your Protected Health Information (PHI) was disclosed by UHS, as allowed by federal regulations. To request an accounting of disclosures, please submit the Accounting of Disclosures Form to the Medical Records department by mail, fax, or in-person.

Contact Us

Medical Records is open Monday-Friday, 10am-5pm.
The office is located in the second floor atrium of the Tang Center.

Phone: (510) 642-1804
Currently enrolled students can send a secure message through the eTang patient portal

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