Counseling Center Forms

Available Counseling Center forms:



How To Obtain Your Health Information

A completed authorization form and copy of a legal photo identification are required when requesting your health information. Download and complete the Authorization for Use and Disclosure of Protected Health Information Form in its entirety send along with a copy of your photo ID.  The form must be signed and dated. Requests without signatures or photo ID will be returned.

You can mail or fax your request. The mail and fax information are located at the bottom of the page. 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 within 5 business days.