Patient Privacy | University of Utah Health

* Required Information

Information entered on this form is secure and is only available to authorized employees.

* Your First Name:

* Your Last Name:

Your Email Address or Your Phone Number is Required

* Your E-Mail Address:

* Your Phone Number:

* Question for Department:

* Details of Concern or Question:

If you are University of Utah Staff, Faculty, or Student:

Employee / Student ID:

Your Department:

If you have a compliance concern you would prefer to raise anonymously, visit the University of Utah Ethics and Compliance hotline page.