Releasing Your Information If you have had at least one appointment with Medical Services (MS) and would like to release your medical information to yourself or to another person/clinic, please ...

Likewise, faculty and staff (outside SDS) do not have direct access to student files. An “Authorization for Release of Information” form shall be obtained from the student (with their consent) to ...

The Health Information Management (HIM) department at PUSH, located in Room 140 of 601 Stadium Mall Drive, West Lafayette, IN, is responsible for managing medical records, including release of ...

Students bringing an advisor must complete a release of information form for that person. What the advisor's role is Advisors are not permitted to speak for, or on behalf of, the responding student ...

A HIPAA release form must be obtained from a patient before their protected health information is disclosed for any purpose other than those detailed in 45 CFR §164.506, which are specifically ...