Medical Record Requests

Requests for medical records are processed by DataFile Technologies, a data management company based in Kansas City. All information on the release form must be correct and complete in order to avoid delays.

Download Authorization Form

To obtain a copy of your records you must complete a release form by:

• Click here for the printable form.
• After filling out the form, you may hand deliver it to any Ogden Clinic location to have an Ogden Clinic staff member sign the form as a witness to verify that the form is complete and the signature belongs to the person making the request. If the patient completes the form to send by mail the form must be notarized to verify that the signature belongs to the patient. This can be mailed to Ogden Clinic's Business Office at the address listed below.
• To check the status of your request, please visit Records Request Status Inquiry.
• For questions about the release form status, contact Ogden Clinic at 801-475-3450.
• For questions about the price and billing for records, please contact DataFile Technologies at 866-442-9026 or at ScanStat Technologies.

To request a copy of your medical record from an outside provider’s office be sent to Ogden Clinic you must complete a release form by:

• Clicking Here for a printable form.
• After filling out the form, you may hand deliver it to any Ogden Clinic location to have an Ogden Clinic staff member sign the form as a witness to verify that the form is complete and the signature belongs to the person making the request. If the patient completes the form to send by mail the form must be notarized to verify that the signature belongs to the patient. This can be mailed to Ogden Clinic's Business Office at the address listed below.

To grant verbal access concerning your medical record to a relative or friend you must complete a release form by:

• Click Here for printable form. This form strictly allows VERBAL access to medical information and does not allow others to request copies of your medical records.
• After filling out the form, you may hand deliver it to any Ogden Clinic location to have an Ogden Clinic staff member sign the form as a witness to verify that the form is complete and the signature belongs to the person making the request. If the patient completes the form to send by mail the form must be notarized to verify that the signature belongs to the patient. This can be mailed to Ogden Clinic's Business Office at the address listed below.

Ogden Clinic’s Business Office is located at: