Campus Health is a HIPAA-covered entity with a commitment to the privacy and confidentiality of our student patients' health information and records. Learn about Privacy and Confidentiality of Health Records.
To request a release of your personal healthcare records (from the Health Center) or counseling services records (from CAPS) to another healthcare provider, entity, or to yourself, you must fill out this form:
Authorization for the Release of Confidential Health Information (PDF)
Complete the form, then either mail, fax, or email your request:
- Mailing address: Tulane University, 6823 St. Charles Ave., Bldg. 92, New Orleans, LA 70118 Attn: Medical Records
- Fax: 504-865-5083
- Email: CHMedRecords@tulane.edu
Please note: Physical mail and fax are more secure methods to submit your request than email. We do not allow electronic signatures.
Medical Records Frequently Asked Questions
The following individuals may sign the authorization for release of medical information:
- The student/patient
- An individual with authorized power of attorney if the student/patient is not able to sign (documentation must be provided).
Please note: a spouse or domestic partner may not request medical records without the student/patient's consent.
Tulane University Campus Health does not review or retain documents submitted in advance of a student establishing a treatment relationship with Campus Health. In the event of an emergency/life threatening situation, a student's emergency contact(s) will be notified. This notification process does not require documentation such as an authorization form or power of attorney to be on file.
There is no charge for releasing medical records to enrolled students or former students. There may be a fee associated with requests from legal or insurance entities.
Your request will be processed within five to seven business days.
Phone: 504-865-5255
Email: CHMedRecords@tulane.edu
