Form:
Department:
Student Health & Wellbeing Services
Format:
PDF
This form should be filled out and submitted when a student wants to have a copy of his/her records released.
Routing Instructions:
SHC 101 (Health Center Medical Records)
This form should be filled out and submitted when a student wants to have a copy of his/her records released.
SHC 101 (Health Center Medical Records)
Printer-friendly version