Request for Health Records

Who should I contact to get a copy of my records or ask questions?

  • Wasatch Behavioral Health (Medical Records)
  • Phone: (801) 373-4760
  • Fax: (801) 373-0643
  • Email: wmhrecords@mitsuhashi-teien.com
  • 750 N Freedom Blvd. Provo, UT 84601

What do I need to do to get a copy of my records?

  • Fill out an Authorization Form and either email, fax or return in person to any Wasatch Behavioral Health office.

What are the fees for obtaining copies of my records?

  • Client (or parent/guardian) requests – $5.00 deposit submitted with an authorization form, then $.25 per page copying fee paid at time information is picked up (initial deposit may be more depending upon amount of information requesting).
  • Attorney/Record Retrieval Companies – $21.00 research fee, then $.53 per page for the first 40 pages then $0.32 for each page after 40 pages. Expedite fee is $25.00, separate from other charges. *WBH payment agreement must be signed prior to processing records request.
  • Other Treatment Providers – no charge