For your first visit to Campus Health
Forms for specific services at Campus Health:
Please call your insurance company to determine IUD/Implant benefits. If you need assistance, please email firstname.lastname@example.org or call 919-966-6588)
Release of Information Form
The Campus Health Medical Release of Information Form is used for consent to sharing previous medical encounter details with Campus Health or transmit your Campus Health records. We cannot accept an electronic signature on Release of Information forms. All forms must have an original signature before the request can be processed. Requests for your records can take between 7-10 business days to process. If you only need copies of your immunization records, you can pick up those records by visiting the Health Information Management Department located on the second floor of the building and receive your immunization records during the same day.