Information about you, the type of services you access, and the content of your appointments cannot be released to anyone (including family) without your written permission with the following exceptions:
- Information indicating that a child is in need of protection.
- Information indicating that you may constitute a risk to yourself or others.
- Information that leads to concerns about public safety.
- Other statutory or common-law provision that requires or authorizes the release of confidential information.
Authorization for Release of Medical Record Information
Please complete the authorization form and return it to Student Health Service if you wish to release your medical record information to another individual or medical care office.