Name: | DOB: | MRN: | PCP:

Requesting Access to a Minor Patient or Adult with Diminished Mental Capacity

Minor Patients

You must be the child's parent or legal guardian to access the record. Once a child turns 18, access is automatically revoked. Due to UMHCC Policy, there are limitations based on a patient's age restricing what you can view in the your child's/ward's MyUofMHealth account:

  • Age 0-10: You have full access to their account
  • Age 11-17: You have partial access to their account, as noted in the FAQs
  • Age 18 or older: You no longer have access to their account.

These age range limitations do not affect any legal rights you have to access your child/ward's medical records by other means. To request a copy of your child/ward's records, contact the Release of Information unit.

Permanent Legal Guardian of the Patient

Requester must provide a copy of the Court Order Appointing Guardian and Letters of Guardianship verifying the requester's status as permanent legal guardian of the patient. Please mail the information to: Michigan Medicine, Health Information Mangement, 2901 Hubbard, Ann Arbor, MI 48109 or fax it to (734) 998-0105.

Durable Power of Attorney for Healthcare

Requester must provide a copy of the valid Durable Power of Attorney for Healthcare and two Physician Certifications verifying the patient lacks decisional capacity. Please mail the information to: Michigan Medicine, Health Information Mangement, 2901 Hubbard, Ann Arbor, MI 48109 or fax it to (734) 998-0105.

Your medical record number must be entered using 9 digits. If your medical record number is less than 9 digits, add zeros to the beginning of your number. Example: 123456 must be entered as 000123456

Your medical record number can be found on your blue registration card (listed as CPI number) or your Summary of Care note given to you following your appointment. The medical record number is listed as MRN# in the upper left corner on the Summary of Care document. You can also find your medical record number on label stickers on most medical information from your doctor.