The Medical Records department collects, distributes, stores, and retrieves medical information from the medical record maintained on each patient at the Student Health and Wellness Center. All information is strictly confidential and is released only through written consent by the patient. A charge may be associated with the copying of medical records.
We will not disclose Protected Health Information about our patients without prior written consent from the patient on a per request basis. For patients under 18, parents may request most medical information (call for details).
If you would like to save time, you can download these printable PDF's to give to the front desk of the main reception area. You will need the Adobe Acrobat Reader to view them.
Online Medical Forms
- Medical History and Permission to Treat (for all patients)
- Medical Record Release FROM SHWC (complete if needed)
- Medical Record Release TO SHWC (complete if needed)
- Notice of Patient Privacy