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Student Health Service
Student Health/Cheney Intl. Bldg.
1000 E. University Ave. | Dept. 3068
Laramie, WY 82071
Phone: (307) 766-2130
TeleType: (307) 766-2132
Fax: (307) 766-2711
Email: studenthealth@uwyo.edu

Pharmacy
Phone: (307) 766-6602

Request Medical Records

Medical information is confidential and can only obtained from or provided to the University of Wyoming Student Health Service with a signed release form. There are many reasons that confidential medical information needs to be transferred from one medical agency to another, including: physician review of past medical evaluations; documentation for an insurance claim; and transfer of care to or from another physician.

transfer records from the UW Student Health Service:

To get started, fill out the Authorization for Release of Medical Records & Information form and either email it back to us or drop it by our office. Forms are available in the office if needed.
Once the form is received, the requested section(s) of your medical record will be copied. This may take up to 7 business days to complete.
When the records are ready you will be notified and can pick up the records in person or we will send the records by mail to the intended recipient. Due to confidentiality, we prefer not to fax records.

transfer records to the UW Student Health Service:

Contact the office that you are requesting your records from. You will be asked to complete an Authorization form in which you will indicate the University of Wyoming Student Health Service as the intended recipient.
It may take several weeks to receive outside records. If you know previous records are needed for continuing health care, please order them prior to your appointment at the Student Health Service.
Once records are received, they will be reviewed by one of our medical clinicians prior to being filed in your Student Health Service medical record.

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A fee of $25 may apply.

All students may receive one copy of their medical record at no cost. However, if you request additional copies, there will be a $25 fee.
If you authorize outside agencies to receive a copy of your medical record there is a $25 fee, which must be paid before the record is released. We will request this fee from the requesting agency.
There is no charge to transfer records to another physician.

Yes, though by law, UW Student Health Service can not copy any records that were received from other agencies regarding your health care. Student Health can only send medical records that originated in our offices.

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