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Records Request
The Student Health Service will release medical information when requested in the following manner:
1. A signed release of medical information form or letter must be completed by the patient requesting the records. We cannot release records if requested by someone other than the patient except when legally requested.
2. The letter must include full name, Social Security Number, and the years you received care from the Student Health Service.
3. If you are requesting only limited information from the chart, please indicate the time period and the item (lab reports, exam form, etc.) and we will send you only that information and not the entire chart.
4. Additionally include the address you would like the information sent to and a phone number so we may contact you if necessary.
5. The final step is for you to sign the form requesting release of information.
You may submit your request in person, mail or by fax at (865) 974-2000.
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