Uhc fax number for medical records 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the name and address of the person or entity authorized to receive your medical records in the designated fields.
3. Specify the type of information you are authorizing UnitedHealthcare to use or disclose. This may include medical, claim, or benefit records.
4. Indicate the purpose for which this information will be used or disclosed. Be clear and concise in your description.
5. Review the voluntary nature of this authorization and ensure you understand that refusing to sign will not affect your health plan enrollment.
6. Fill in the expiration date or event for this authorization, noting that it may be valid for a maximum of one year.
7. Sign and print your name at the bottom of the form, ensuring all required fields are completed before submission.
8. Finally, return the completed form to UnitedHealthcare at the provided address or fax it to (801) 938-2105.

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