If you are a patient at UM Community Medical Group, learn about the information and services we have for you.
To request an appointment with one of UM Community Medical Group’s expert providers, search Find a Doctor to find a provider and his or her phone number.
Please download and fill out the forms below and bring them with you to your doctor's visit.
- Patient Registration Form, Consent Form and Authorization to Disclose Health Information Form (English)
- Patient Registration Form, Consent Form and Authorization to Disclose Health Information Form (Spanish)
Request Medical Records
To request a copy of your medical records, please download and complete the form "Request for the Use and Disclosure of Protected Health Information."
- Request for the Use and Disclosure of Protected Health Information - English
- Request for the Use and Disclosure of Protected Health Information - Spanish
This form can be mailed or faxed to:
UM CMG Central Business Office
Attention: Health Information Management
920 Elkridge Landing Rd, 4th Floor
Linthicum, MD 21090
You will be contacted within 30 days when your medical records are ready. Medical records may be mailed once you submit a copy of your photo ID, the signature can be validated based on previous medical record documentation, and the charge for the copy of the medical record has been authorized by the requester. There may be a reasonable fee charged for the costs of preparing the medical record.
Please note: UMCMG can only release medical records for services performed at our practices. See additional contact information for other Health Information Management departments
within the University of Maryland Medical System.