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 the Counseling Center) 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.
Tulane University Campus Health does not review or retain documents submitted in advance of your student establishing a treatment relationship with Campus Health. In the event of emergency/life threatening situations, notification 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 business days. If you need your records more urgently, please call the medical records office.