Medical Records

Current and former students may request specific information from their Student Health Center medical record by submitting a Release of Authorized Information Form to the Student Health Center.  Please review our Confidentiality policy prior to submitting this form.

This form may be submitted:

  • in person
  • by fax to 215.951.6867
  • by mail: Student Health Center, 4201 Henry Avenue, Philadelphia, PA 19144