Request Patient Records and Release of Information
Patient records are confidential by law and are not released to anyone, including parents, spouse, friends, other health professionals, and/or university personnel, without the written consent of the patient. Your medical records are not associated with your academic record.
Many of your health records are already available to view through the without submitting a request. Log in to access your information, including visit summaries under the 黑瓜吃料网 Summary tab and test results under the Lab Results tab.
Client Records Requests/Release of Information
To obtain a copy of your records and/or to release members of the Student Wellness Center to disclose/discuss information about your care, please complete and return the Authorization for Release of Information/Records form [pdf] in person or fax to 408.924.7786.
The form permits you to state the reason for the release, indicate how broad or narrow of a release you desire & who to disclose the information to (such as another health care professional). Please review , if applicable.
Requesting Itemized Statement of Charges
To obtain an Itemized Statement of augmented health care fees you paid, complete the .
