Medical Records

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:

  1. Print, complete, and sign a copy of the AUTHORIZATION TO REQUEST OR RELEASE MEDICAL INFORMATION form
  2. Submit completed and signed form to Student Health Center in person or fax to 408-924-7786.
  3. 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.

SUBPOENA GUIDELINES


To obtain an Itemized Statement:


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