Click on the links to open the forms. Forms are in Adobe Acrobat format. Click here for the latest version of Acrobat.
Authorization to Release Medical Information Form(s) - Individuals who would like to request copies of medical records from the Health Center, OR have staff request medical records be sent to the Health Center, must complete the appropriate form. All requests should include a copy of a photo ID (ie. Driver’s license or Student ID).
Please note electronic signatures are not accepted.