Privacy Practices and Record Requests
Versiti and its Affiliates appreciate the importance of keeping your health information private. To learn about how we do this, please review the Notice of Privacy Practices at:
We also understand the importance of providing you easy access to your health records.
Request Your Medical Records
Download the Authorization to Use and Disclose Health Information to request a copy of your medical records. Once completed, send form to:
638 North 18th Street
Milwaukee, Wisconsin 53233
ATTN: Privacy Officer
Questions and Concerns
If you would like to file a complaint, please contact our Privacy Officer or the Department of Health and Human Services Office.
If you would like to request an amendment to your health records, a list of disclosures, restriction or limitation of your health information, confidential communications of your health information, or receive a paper copy of our Notice of Privacy Practices, please contact our Privacy Officer.
Policy and Procedures Manual
Versiti Privacy Policies & Procedures Manual