If you need medical records from The University of Alabama Student Health Center, please complete the medical record authorization form and submit it to Student Health via the following options:

  • Sharon Jones, RHIT, Director of Medical Records
  • Tina Hindman, Medical Records Clerk II
  • Fax to: 205-348-4722
  • Mail to: Box 870360, Tuscaloosa, AL 35487

Email: SHCmedicalrecords@ua.edu

This release of information form applies only to records kept by The University of Alabama Student Health Center. There is a fee for copies of medical records per the Alabama reproduction and delivery of medical records Section 12-321-6.1. Notary services for copies of medical records are available at no charge to patients.

The Authorization to Disclose Medical Records (PDF) is used to request disclosures. Please note that it can take up to 72 hours to process a request.

Authorization must be signed. We do not accept digital signatures. We do not email records.

If you have questions, call 205-348-4678 or fax 205-348-4722.