Allow your medical records to be released by Student Health Services, or allow another health care provider to release your records to Student Health Services.
Health and immunization records submitted to or generated by Student Health Services are held on file for 10 years.
In accordance with HIPAA (Health Insurance Portability and Accountability Act), if a patient is 18 years of age or older we cannot release any medical information to a parent, spouse, instructor, employer or anyone else other than the patient him/herself. Patients who would like Student Health Services to verify an appointment or discuss diagnosis and treatment with anyone other than themselves must sign an authorization consent form during their visit. This consent pertains to that day’s appointment only; a new release form must be signed at each visit.
If other individuals or agencies have provided confidential information to Student Health Services, you cannot use the authorization form to re-release this information. For copies of medical records that came from another individual or agency, please contact that original individual or agency directly.
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Student Life
University at Buffalo
Michael Hall, 3435 Main Street, South Campus
Buffalo, NY 14214
Phone: (716) 829-3316; Fax: (716) 829-2564
