How to Get Medical Records from Salt Lake County Jail (HIPAA Requests)
Need medical records from someone who received care at Salt Lake County Jail? You'll submit a HIPAA release (ROI) request directly to the jail's medical records office. Here's where to send it, what to include, and what to expect for cost and timing.
Send your HIPAA medical records request to Salt Lake County Jail at 3415 South 900 West, Salt Lake City, UT 84119. Questions before you submit? Call the medical records office at 385-468-8600. You can also fax your request to 385-468-8722 or 801-266-8931, or email it to ADC-MedicalRecords@saltlakecounty.gov.
Use the jail's
Expect to pay copy fees. The form lists a charge of $0.50 per page for HIPAA medical record requests, and the Sheriff's Office doesn't waive these costs for prisoners. As for timing, requests are typically fulfilled within 30 days. If you're working around a court date, attorney deadline, or treatment appointment, factor that window into your planning.
Note: The HIPAA form states a notary is required for third-party requests. If you’re not the patient, arrange notarization before you submit so your request doesn’t stall.
The notary requirement applies when someone other than the patient is requesting records. The form has a dedicated
Practical Checklist
- ✓ Get the Salt Lake County Jail “Request for Protected Health Information Under HIPAA (ROI)” form
- ✓ Fill in the patient’s identifying information and specify what records you want and for what time period
- ✓ Make sure the form is signed by the patient
- ✓ If you’re a third-party requester, complete the notary section (notary required)
- ✓ Budget for copy costs at $0.50 per page (costs are not waived for prisoners)
- ✓ Submit the request by mail to 3415 South 900 West, Salt Lake City, UT 84119, or by fax to 385-468-8722 / 801-266-8931, or by email to ADC-MedicalRecords@saltlakecounty.gov
- ✓ Expect fulfillment within 30 days
- Complete the HIPAA ROI form - Enter the patient details and clearly identify the records/time period you’re requesting.
- Get the correct signature - The patient must sign; if you’re submitting as a third party, have the form notarized.
- Choose how you’ll submit - Mail it to 3415 South 900 West, Salt Lake City, UT 84119, fax it to 385-468-8722 or 801-266-8931, or email it to ADC-MedicalRecords@saltlakecounty.gov.
- Follow up if you need to - If you have questions while it’s processing, call 385-468-8600.
Find an Inmate at Salt Lake County Jail, UT
Search for a loved one and send messages and photos in minutes.
