Patient Record Request Form

Myriad Contact Information

Fax: 801-584-3615
Mail: 320 Wakara Way Salt Lake City, UT 84108 Attn: Medical Records

For questions about your request after it has been submitted, if you need help filling out the form, or to check the status of your request, call Myriad Customer Service at 1-800-4MYRIAD (469-7423).