Request Medical Records

How to request records for health, counseling, and/or occupational therapy

Step 1:
Fill out the Release of Information and Records Consent Form (PDF).

Step 2:
Attach the form and send by either secure message through the Student Health Portal or an email to Karen Hernandez at henka@caltech.edu.

Manner of Release:
Records will be ready for release within 5-7 business days. Please indicate in your message how you would like your records to be released. Records may ONLY be released by in-person pickup, fax, or sent via postal service. You will be contacted by phone or email when they are ready to be released.

Fee Schedule for Copies of Records:

• 1-3 pages: no charge
• 4-10 pages: $5.00
• 11-20 pages: $10.00
• 21+ pages: $15.00 plus $0.35 per page
• Records sent directly to a new provider: $0.00

Payment is only accepted by cash or check. You may also pay with an active bursar account.
Please Note: Records are only kept for up to 7 years from the date of degree conferred.