Myriad understands and supports your right as a patient to obtain copies of your medical records. The Patient Record Request Tool is to assist you in generating and sending a signed pdf Record Request form to Myriad Medical Records. Not all fields are required; however, if there is not enough information to locate and verify the person named as patient, or not enough information to fulfill the request, there will be delays.
If you need help filling out the form, call Myriad Customer Service at 1-800-4MYRIAD (469-7423).
Myriad Genetics Labratories, Inc.
Mail: 320 Wakara Way Salt Lake City, UT 84108
*If other than the patient’s signature, a copy of legal paperwork verifying the patient’s personal representative MUST accompany the request (i.e. court appointed guardian, durable power of attorney for health care). Exception: parent signing for a patient under the age of 18.
For a deceased patient: A copy of the death certificate identifying the surviving spouse is acceptable and allows the surviving spouse to sign this authorization. Other deceased patients: a court entry or order appointing a fiduciary, executor, or administrator or letters of appointment received from Probate Court must accompany an authorization signed by the named individual. If the estate has not been probated, a death certificate is required coupled with the documents naming the administrator or executor of estate.
Mail: 322 North 2200 West, Salt Lake City, Utah 84116
For questions about your request after it has been submitted, or to check the status of your request, call Myriad Customer Service at 1-800-4MYRIAD (469-7423).