Your medical record is kept confidential at all times and is not associated with your academic record. Medical records are retained for a period of seven (7) years following last semester seen at the Student Health Center.
To obtain a copy of your medical records:
- Print, complete, and sign a copy of the AUTHORIZATION TO REQUEST OR RELEASE MEDICAL INFORMATION form
- Submit completed and signed form to Student Health Center in person or fax to 408-924-7786.
- There is a 0.25 cents per page fee for a personal copy of medical records. Records authorized for release to another provider are at no charge.
To obtain an Itemized Statement:
- Download the Itemized Statement Form (augmented health care fees you paid)