- Gynecologic Services
- Health Professional Student Compliance
- Health Records
- International Students
- Men's Services
- Nutrition Therapy
- Order-It-Yourself (OIY) Testing
- Primary Care
- PT/Sports Medicine
- Student Animal Handler
Medical Records Release Authorization
(89 Kb PDF)
This form must be completed if you wish to receive or release your medical information.
Transferring Health Records
From Student Life Student Health Services (SLSHS) to another healthcare provider:
We will transfer your health information to another health care provider at no charge upon receipt of a completed authorization form.
From another healthcare provider to SLSHS:
It may be helpful to have your health information from another healthcare provider transferred to the SLSHS. Our providers will review your previous illnesses, treatments and medications to provide you with consistent care. Simply complete and send an authorization form to any healthcare providers who have treated you in the past.