Medical Records

Medical records are confidential. To obtain a copy of an individual’s medical records, that individual must complete an Authorization for Release of Medical Information, which may be obtained as a .pdf file by clicking on this link.  Current students may also choose to pick  up an Authorization for Release form while visiting the Health Center.   A release form from another health care provider may be used in lieu of our form.  If unable to access our form, the individual may simply provide us with a request in writing. The request should include the following information:

Full name

Class year

Date of birth

What records are needed

Where the records should be sent/faxed

Student signature