Request Medical Records

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

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

You may also access the form through the Student Health Portal: Student Health Portal > Optional Forms > Release of Information Form

Step 2: Submit the Form
Send the completed form through one of the following methods:

• Upload and submit the form in the Student Health Portal
• Email to Karen Hernandez at [email protected]

Important Notice About Counseling Records
If you are requesting access to your counseling records, please note that a treatment summary will be provided first. This summary includes general information about your time in counseling—such as dates of service, presenting concerns, progress made, and any recommendations.

If you need more detailed information than what is typically included in a treatment summary, please contact the Counseling Center and ask to speak with a staff member about your specific request.

Processing Time:
Records will be ready within 5 business days of receiving your request.

Delivery Options:
Please indicate your preferred method of release. Records may only be released via:

• In-person pick-up
  
• Mail
  
• Fax
  
• Student Health Portal (if access is still available)

Retention Policy:
Records are only kept for up to 7 years from the date your degree was conferred.

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 Options:
Accepted forms of payment include:

• Cash
  
• Check
  
• Active bursar account