How do I obtain a copy of my medical records?

To obtain a copy of or allow your parents or guardians access to your medical records or have them sent to a third party:

• Download the “Authorization to Release Protected Health Information” form.
• Indicate to whom you are authorizing release of your medical record.
• If you need immunization records only, indicate this on the form.

Options to turn in the form:

1. Bring the authorization form to the Medical Records department.
2. Fax requests for records to 1-877-221-6278 (NCSU).
3. Mail the authorization form to:

   NCSU Student Health Services
   Medical Records Department
   2815 Cates Avenue
   Box 7304
   Raleigh, NC 27695-7304