If you appear in person at the University of Utah Health Sciences Center/Hospitals and Clinics: Have a UUHSC staff member "witness" your signature Ask the UUHSC staff member to submit the form to the HIPAA Privacy Office If you DO NOT appear in person at the University of Utah Health Sciences Center/Hospitals and Clinics (e.g. you will be mailing in your request or sending it with a friend): Have your signature notarized (you can do this at most banks) Mail the form to: HIPAA Privacy Office 50 N Medical Dr SLC UT 84132