To request a copy of your medical record, please complete the Authorization of Use or Disclosure of Information form and call 205-545-4420. To request a copy of your medical record, please complete ...

Fill out the release form and email ... requests marked as urgent. Your request will be processed and fulfilled within 10 working days. We will either mail records to the address specified on the ...

you can submit a request using the release form below. We will contact you if there is fee associated with this. Typically, duplicate or multiple requests will be charged a fee. Release of Medical ...

Be prepared to provide your required immunization records prior to August ... Students may initiate release of their medical information with the SHS staff. The release MUST be in writing; forms are ...

If you require a record transfer, please complete the form below or submit a copy of the Medical or Counselling Records Transfer Request Form in person at the Student Health & Wellness Centre.

This form is for requesting an exemption from the vaccination requirements for medical reasons. The form must be completed ... This report includes your immunization records, a copy of the results of ...

Medical and mental health records are not ... and would like to release your medical information to yourself or to another person/clinic, please complete the electronic “Authorization to Release ...

If you would like to request ... medical and/or mental health records, or would like to give permission for your provider to discuss medical and/or mental health information with a third party, please ...