Release of Medical Information Policy

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Consent is required from students 18 years old and over, before Health Services can release any medical information to another person.

Policy Information

  • Unit: Health Services 
  • Date Established: 01/30/2020
  • Date Last Updated: 11/24/2020

Policy Statement

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 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.



Notify Health Services who they are permitted to release your medical information to.


During your visit, sign an authorization consent form if you wish to permit Health Services to share protected health information with another individual. This form must be filled out at each visit.

Worried About Your Privacy?

To maintain confidentiality, contact your health insurance company and ask that any ‘Explanation of Benefits’ involving you be sent directly to you and no one else.


For additional information, please contact:

Health Services

Student Life

University at Buffalo
Michael Hall, 3435 Main Street, South Campus
Buffalo, NY 14214

Phone: (716) 829-3316; Fax: (716) 829-2564

NYS Vaccination Clinics

UB's Health Services is unable to provide information about the NY State Department of Health’s COVID vaccination clinics being held at Harriman Hall on UB’s South Campus. For information about these clinics, including eligibility and to make an appointment, please call the NYS Health Department’s COVID vaccine hotline phone number: 1-833-697-4829 (1-833-NYS-4-VAX) or refer to their website.