Campus Health is a HIPAA-covered entity with a commitment to the privacy and confidentiality of our patients' health information and records.
To request a release of your personal healthcare records (from the Health Center) or counseling services records (from CAPS for Counseling Services) to another healthcare provider, entity, or to yourself, you must fill out this form:
Complete the form, then either mail, fax, or email your request:
The following individuals may sign the authorization for release of medical information:
Please note: A spouse or domestic partner may not request medical records without the student/patient's consent.
There is no charge for releasing partial medical records to enrolled students or former students. Complete medical records request cost $10 per copy. Immunization records can be requested at no charge.
Your request will be processed within five business days. If you need your records more urgently, please call the medical records office.