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Records Management Forms

Storage Approval Form
Click Here for instructions

Transmittal of Records Form
Click Here for instructions

Transmittal of Records Continuation Form

Records Circulation Request Form
Click Here for instructions

Disposition Log of Records Form
Click Here for instructions

Disposition Worksheet
Use this worksheet to assist with calculating the eligible disposition dates of your records.

 

Records Management Guides

Records Management Compliance Short Guide

Records Management Compliance Manual

Office Contact Numbers

Phone (409) 747-8700
Fax (409) 747-8720

Fraud, Abuse, and Privacy Hotline
(800) 898-7679

Fraud, Abuse, and Privacy Hotline
Address
UTMB Health
Office of Institutional Compliance
Mail Route 0198
301 University Blvd.
Galveston, TX 77555-0198
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  • About Us
    • Home
    • Team
      • OIC Organizational Chart
      • OIC Leadership and Attorneys
      • OIC Staff
  • Billing / 340B
    • Billing Compliance
      • Overview
      • Team
      • Training
      • Resources
      • Clinical Documentation and Billing Resources
      • Coding and Documentation Resources
      • Medical Record Documentation Checklists
      • Policies/Procedures
    • 340B Compliance
      • UTMB 340B Compliance
      • 340B at UTMB CMC
  • Conflicts of Interest & Research
    • Conflict of Interest
      • Overview
      • About Us
      • Committee
      • Research COI
      • Individual COI and COC
      • Institutional COI
      • Ethical Interactions With Industry
      • Open Payments/Sunshine Act
      • Policies/Resources
      • FAQ's
    • Research Compliance
      • Overview
      • Research Compliance Team
      • Human Subjects Monitoring
        • Human Subjects Overview
        • Human Subjects Monitoring Process
      • Resources
  • Privacy/HIPAA
    • Overview
    • About Us
    • Patient Privacy
    • Student Privacy
    • General Privacy
  • Records Mgmt
    • About Us
      • Overview
      • Services
      • Responsibilities
      • State Laws and Rules
      • UTMB Records Policies
      • Records Management Team
      • Records News
    • Records Retention Schedule
      • Retention Schedule Overview
      • Certifying the Retention Schedule
      • Reading the Retention Schedule
      • Amending the Retention Schedule
      • Decertifying the Retention Schedule
      • List of Department Retention Schedules
    • Records Storage
      • Records Storage Overview
      • Benefits
      • How to Store Records
      • Box Inspection and Pickup
      • Accessing Stored Records
      • Dispositioning Stored Records
    • Destruction of Records
    • Training
    • Forms & Guides
    • FAQs
    • Contact Us
      • Contact Records Management
      • Department Contact List
  • Resources & Training
    • Compliance Training
    • Standards of Conduct Guide
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