Student Affairs - Fostering Student Learning and Success

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Release of Information

Except in life threatening emergencies, or unless required by federal, state, or local law(s), your medical information will not be released without your permission.  On occasion, Campus Health Services receives telephone calls from parents about your medical care.  If you are over 18 years of age, the health care providers are unable to release any medical information to your parents without your explicit verbal or written permission.  We do not allow for students to sign a “blanket” authorization form.  What you might want to release to a third party now, you might not want to release at a later date.  You will need to sign a release form each time you want new information released from your records.

There may be times when transfer of medical care to another health care institution or organization is necessary. In order for medical information to be released, a written release must be signed by the requesting student. If you need your records released within 48 hours, a $10.00 processing fee may be charged to release your records.

  • You need to complete a CHS Release of Information Form before we can release any information. 
  • Print it
  • Fill it out
  • Sign it and 
  • Fax to 919.966.0616 or mail it to the address on form.

You can also view your personal health records on the Healthy Heels Portal.