Confidentiality
The Health Center is bound by laws of confidentiality, and personal information will not be released to a third party without written permission from the patient. All medical information regarding your health is treated with the utmost care to safeguard your privacy. We follow all the guidelines of the Health Insurance Portability and Accountability Act of 1996 (HIPAA - Notice of Privacy Practices Distribution) and your personal information cannot be released to anyone without your permission if you are over the age of 18.
If you want to have your records sent to us from another physician's office, please fill out this form and fax or mail it to your physician’s office. If you would like the Student Health Center to send your records to another physician's office, fill out this form and return it to the Health Center or fax or mail it to the address/number listed on the top of the form.
As a professional courtesy, there is NO COST to have your medical records sent directly to another physician. A fee of $10 to $20 (determined by size of file) will be charged if you are requesting a copy for own records.
