Protecting Patient Privacy
Protecting patient privacy is a high priority at Student Health Services. Due to federal regulations, we are not permitted to discuss your medical information over the telephone. Additionally, we can only discuss this information with you, the patient, and not your parents (unless you are under the age of 18), family members, spouse, or friends. If you need copies of your billing and pharmacy records, it is your responsibility to request the information.
How To Obtain Your Health Information
Download and complete the Authorization for Use and Disclosure of Protected Health Information Form in its entirety (available below) send along with a copy of your drivers license or student ID card. All forms must be signed and dated. These forms can be mailed or faxed to Student Health Services. Mailing and fax information are located at the bottom of the page. Requests without signatures will be returned.
You may also request records in person by stopping by the Student Health Services Health Information Management (HIM) Department and completing the form. The HIM Department accepts no requests for records via telephone.
Processing time for all health records is 3-5 working days.
Authorization for Use and Disclosure of Protected Health Information Form
Please note: some items require the Adobe Acrobat PDF Reader, which can be downloaded from the Adobe web site.