Skip to main content

University of Wisconsin–Madison

Child and Adolescent Psychiatry

University of Wisconsin School of Medicine and Public Health

Search

Home
About Us
Patient Care
Education
Research
Contact Us
Resources
Give

Department of Psychiatry
Faculty and Staff
Suicide Prevention
Give

Home
Documents Page
New Patient Forms and Authorizations
Authorization Release for Medical Records

Authorization Release for Medical Records

Download authorization-release-medical-records

Authorization Release for Medical Records

Site footer content

Quick Links

Department of Psychiatry
Faculty and Staff
Suicide Prevention
Give

Contact Us

6001 Research Park Blvd.
Madison, WI 53719
Map
Phone: 608.232.3171

Website feedback, questions or accessibility issues: helpdesk@psychiatry.wisc.edu.

Learn more about accessibility at UW–Madison.

This site was built using the UW Theme | Privacy Notice | © 2023 Board of Regents of the University of Wisconsin System.