{"id":55,"date":"2026-04-27T12:47:18","date_gmt":"2026-04-27T16:47:18","guid":{"rendered":"https:\/\/studentlife.utk.edu\/student-health\/?page_id=55"},"modified":"2026-07-27T08:05:47","modified_gmt":"2026-07-27T12:05:47","slug":"medical-records","status":"publish","type":"page","link":"https:\/\/studentlife.utk.edu\/student-health\/forms-polices\/medical-records\/","title":{"rendered":"Medical Records"},"content":{"rendered":"\n<div class=\"wp-block-group alignfull has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\" style=\"margin-top:0;padding-top:0\">\n<div class=\"wp-block-cover alignfull has-custom-content-position is-position-center-left\" style=\"min-height:202px;aspect-ratio:unset;\"><img decoding=\"async\" class=\"wp-block-cover__image-background wp-image-6180 size-full\" alt=\"\" src=\"https:\/\/studentlife.utk.edu\/wp-content\/uploads\/2025\/09\/Smokey-Gray-Mountains.jpg\" style=\"object-position:50% 65%\" data-object-fit=\"cover\" data-object-position=\"50% 65%\" \/><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim-0 has-background-dim\"><\/span><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\"><h1 style=\"padding-right:var(--wp--preset--spacing--large);padding-left:var(--wp--preset--spacing--large);padding-top:var(--wp--preset--spacing--x-small);padding-bottom:var(--wp--preset--spacing--x-small);margin-right:0;margin-left:0\" class=\"has-text-align-left has-link-color wp-elements-2669c25cd1f06430b4b85ebffeced485 wp-block-post-title has-text-color has-white-color\">Medical Records<\/h1><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator alignfull has-alpha-channel-opacity\" style=\"margin-top:0;margin-bottom:0\" \/>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">The Student Health Center will release medical information&nbsp;when requested in the following manner:&nbsp;<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>A Medical Records Release Form (e.g.&nbsp;see below) or letter must be completed and signed by the patient for whom the records are&nbsp;requested.&nbsp;<strong>We will not release records to someone other than the patient except when legally required or&nbsp;permitted&nbsp;to do so.&nbsp;<\/strong><\/li>\n\n\n\n<li>The Medical Records Release Form or letter must&nbsp;comply with&nbsp;the following:&nbsp;\n<ul class=\"wp-block-list\">\n<li>Be accompanied by a photocopy of a current ID of the patient,&nbsp;with the exception of&nbsp;when the records are to be released to a&nbsp;third-party&nbsp;facility or enterprise other than an individual (See number 3 below).&nbsp;Psychiatric records must be accompanied by two forms of ID.<\/li>\n\n\n\n<li>Include the&nbsp;patient\u2019s&nbsp;full&nbsp;name,&nbsp;Social Security Number&nbsp;or UT&nbsp;student&nbsp;ID&nbsp;number (for current students), and the years wherein care was received from the Student Health Center.&nbsp;<\/li>\n\n\n\n<li>Include the&nbsp;mailing&nbsp;address&nbsp;to&nbsp;where&nbsp;the records&nbsp;should be&nbsp;forwarded.&nbsp;<\/li>\n\n\n\n<li>Include a current phone number where&nbsp;the patient&nbsp;can be reached.<\/li>\n\n\n\n<li>Be signed&nbsp;by the patient and&nbsp;attested&nbsp;by&nbsp;the signature of a witness. Psychiatric records must be signed by two witnesses.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>If the records are to be released to a&nbsp;third-party&nbsp;facility or enterprise other than an individual, then a specific name, contact number, and mailing address or fax number of the receiving entity must be provided.&nbsp;<\/li>\n\n\n\n<li>When requesting only limited information from the records, the&nbsp;time period&nbsp;and items to be released (lab reports, exam form, etc.) must be listed.&nbsp;Unless otherwise specified, the Student Health Center will only send the information requested and not a patient\u2019s entire chart or medical history.<\/li>\n<\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<h2 class=\"wp-block-heading\">Medical Release Forms<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/studentlife.utk.edu\/student-health\/wp-content\/uploads\/sites\/22\/2026\/07\/CMC.130.30App2-Medical-Records-Release-to-Other-Entity.pdf\" id=\"520\">Download the General Medical Records Release Form \u2013 Records From Student Health to Other Entity<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/studentlife.utk.edu\/student-health\/wp-content\/uploads\/sites\/22\/2026\/07\/CMC.130.30App3-Medical-Records-Release-from-Other.pdf\" id=\"521\">Download the General Medical Records Release Form \u2013 Records From Other Entity to Student Health<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/studentlife.utk.edu\/student-health\/wp-content\/uploads\/sites\/22\/2026\/07\/BEH.110.30App1.-Authorization-To-Release-Confidential-Information-UTSHC-to-UTSCC-2-1.pdf\" data-type=\"link\" data-id=\"https:\/\/studentlife.utk.edu\/student-health\/wp-content\/uploads\/sites\/22\/2026\/07\/BEH.110.30App1.-Authorization-To-Release-Confidential-Information-UTSHC-to-UTSCC-2-1.pdf\">Download the Psychiatric Medical Records Release Form &#8211; Records From Student Health to Student Counseling<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/studentlife.utk.edu\/student-health\/wp-content\/uploads\/sites\/22\/2026\/07\/BEH.110.30App2.-Authorization-To-Release-Confidential-Information-UTSHC-to-Other-3.pdf\" data-type=\"attachment\" data-id=\"663\">Download the Psychiatric Medical Records Release Form &#8211; Records From Student Health to Other Entity <\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<h2 class=\"wp-block-heading\">Submitting Requests&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The following methods apply to records for clinic visits only.\u00a0For mental health records, contact the Student Counseling Center or the Psychiatry Clinic directly. <strong>For security reasons, medical records cannot be sent via email.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You may&nbsp;submit&nbsp;your request by one of the following methods:&nbsp;<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li><strong>By mail<\/strong>&nbsp;to the:&nbsp;<br>Medical Records Department&nbsp;<br>University of Tennessee&nbsp;<br>Student Health Center&nbsp;<br>1800 Volunteer Blvd&nbsp;<br>Knoxville, TN 37996-3102&nbsp;<\/li>\n\n\n\n<li><strong>By fax<\/strong>&nbsp;at 865-974-2632.&nbsp;<\/li>\n\n\n\n<li><strong>Online (for\u00a0current students\u00a0only\u00a0with UT\u00a0NetID\u00a0access):<\/strong>\u00a0Send an email with your student ID number requesting your records to\u00a0<a href=\"mailto:medicalrecords@utk.edu\" target=\"_blank\" rel=\"noreferrer noopener\">medicalrecords@utk.edu<\/a>\u00a0and your Student Health Center medical records (<strong><em>not<\/em><\/strong><em>\u00a0including\u00a0Student\u00a0Counseling Center records<\/em>) will be sent as a secure PDF attachment to your Student Health\u00a0Patient\u00a0Portal inbox within 1-2 business days. Psychiatric records may take up to thirty days.<\/li>\n<\/ol>\n\n\n\n<div class=\"wp-block-group alignfull utkwds-icon-text has-light-background-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-390953e2 wp-block-group-is-layout-constrained\" style=\"padding-top:var(--wp--preset--spacing--small);padding-right:var(--wp--preset--spacing--small);padding-bottom:var(--wp--preset--spacing--small);padding-left:var(--wp--preset--spacing--small)\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-002ffff5 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:30%\">\n<div class=\"wp-block-utk-wds-icon-block items-justified-center\"><div class=\"icon-container\" style=\"width:125px\"><svg width=\"126\" height=\"125\" viewbox=\"0 0 126 125\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M57.82 94.15v8.29h3.66v-8.29h-3.66Zm5.17-75.81c-13.47 0-24.43 10.96-24.43 24.43v2.93h3.66v-2.93c0-12.84 9.96-23.4 22.56-24.35-.6-.06-1.18-.08-1.79-.08Zm3.67 10.35c-.6 0-1.19.04-1.77.11 6.9.95 12.21 6.83 12.21 13.97 0 1.27-.32 2.52-.93 3.64a.7.7 0 0 1-.13.17L60.55 62.82c-.23.24-.44.5-.61.78a13.254 13.254 0 0 0-2.12 7.2v14.92h3.67V70.81c0-2.56.73-5.04 2.11-7.2.18-.27.38-.54.61-.78L79.7 46.59c.06-.05.1-.11.13-.17.61-1.12.93-2.37.93-3.63 0-7.78-6.32-14.1-14.1-14.1Zm0 0c-.6 0-1.19.04-1.77.11 6.9.95 12.21 6.83 12.21 13.97 0 1.27-.32 2.52-.93 3.64a.7.7 0 0 1-.13.17L60.55 62.82c-.23.24-.44.5-.61.78a13.254 13.254 0 0 0-2.12 7.2v14.92h3.67V70.81c0-2.56.73-5.04 2.11-7.2.18-.27.38-.54.61-.78L79.7 46.59c.06-.05.1-.11.13-.17.61-1.12.93-2.37.93-3.63 0-7.78-6.32-14.1-14.1-14.1Zm-3.67-10.35c-13.47 0-24.43 10.96-24.43 24.43v2.93h3.66v-2.93c0-12.84 9.96-23.4 22.56-24.35-.6-.06-1.18-.08-1.79-.08Zm-5.17 75.81v8.29h3.66v-8.29h-3.66Zm7.19-91.66h-.05C32.81 3.58 6.98 30.08 6.98 62.5c0 32.41 25.83 58.91 57.98 60h.05c32.18-1.06 58.04-27.57 58.04-60 0-32.44-25.86-58.95-58.04-60.01Zm4.79 100.77c0 .44-.37.82-.81.82H57.01a.83.83 0 0 1-.82-.82v-9.92c0-.45.37-.82.82-.82h11.98c.44 0 .81.37.81.82v9.92Zm16.16-49.91c-.24.37-.5.71-.81 1.02l-15.3 16.06c-.05.13-.06.26-.06.4v15.72c0 .44-.37.81-.81.81l.01-.01H57.01c-.45 0-.82-.37-.82-.82V70.81c0-2.87.82-5.66 2.36-8.08.23-.36.51-.71.81-1.03l15.42-16.17c.43-.85.67-1.8.67-2.74 0-6.87-5.59-12.47-12.46-12.47-6.87 0-12.46 5.6-12.46 12.47v3.74c0 .44-.37.81-.82.81H37.73c-.45 0-.82-.37-.82-.81v-3.74c0-14.38 11.7-26.07 26.07-26.07 14.37 0 26.08 11.7 26.08 26.07 0 3.75-1.07 7.4-3.1 10.56Zm-19.3-24.66c-.6 0-1.19.04-1.77.11 6.9.95 12.21 6.83 12.21 13.97 0 1.27-.32 2.52-.93 3.64a.7.7 0 0 1-.13.17L60.55 62.82c-.23.24-.44.5-.61.78a13.254 13.254 0 0 0-2.12 7.2v14.92h3.67V70.81c0-2.56.73-5.04 2.11-7.2.18-.27.38-.54.61-.78L79.7 46.59c.06-.05.1-.11.13-.17.61-1.12.93-2.37.93-3.63 0-7.78-6.32-14.1-14.1-14.1Zm-28.1 14.08v2.93h3.66v-2.93c0-12.84 9.96-23.4 22.56-24.35-.6-.06-1.18-.08-1.79-.08-13.47 0-24.43 10.96-24.43 24.43Zm19.26 59.67h3.66v-8.29h-3.66v8.29Zm0-8.29v8.29h3.66v-8.29h-3.66Zm0 0v8.29h3.66v-8.29h-3.66Z\" fill=\"#FF8200\"><\/path><path d=\"M63 0C28.54 0 .5 28.04.5 62.5S28.54 125 63 125s62.5-28.04 62.5-62.5S97.46 0 63 0Zm2.01 122.5h-.05c-.66.03-1.3.04-1.96.04-33.11 0-60.05-26.94-60.05-60.04C2.95 29.39 29.89 2.45 63 2.46v-.01c.66 0 1.3.01 1.96.04h.05c32.18 1.06 58.04 27.57 58.04 60.01 0 32.43-25.86 58.94-58.04 60Z\" fill=\"#4B4B4B\"><\/path><path d=\"M62.98 16.72c-14.37 0-26.07 11.69-26.07 26.07v3.74c0 .44.37.81.82.81h11.98c.45 0 .82-.37.82-.81v-3.74c0-6.87 5.59-12.47 12.46-12.47 6.87 0 12.46 5.6 12.46 12.47 0 .94-.24 1.89-.67 2.74L59.36 61.7c-.3.32-.58.67-.81 1.03a15.022 15.022 0 0 0-2.36 8.08v15.72c0 .45.37.82.82.82h11.98l-.01.01c.44 0 .81-.37.81-.81V70.83c0-.14.01-.27.06-.4l15.3-16.06c.31-.31.57-.65.81-1.02 2.03-3.16 3.1-6.81 3.1-10.56 0-14.37-11.71-26.07-26.08-26.07ZM84.6 52.46c-.18.27-.38.53-.61.77L68.56 69.41c-.06.07-.12.16-.16.25-.15.37-.23.75-.23 1.15v14.91H57.82V70.8c0-2.56.73-5.04 2.12-7.2.17-.28.38-.54.61-.78l15.49-16.24a.7.7 0 0 0 .13-.17c.61-1.12.93-2.37.93-3.64 0-7.14-5.31-13.02-12.21-13.97h-.03c-.61-.08-1.23-.12-1.86-.12-7.77 0-14.09 6.32-14.09 14.09v2.93H38.56v-2.93c0-13.47 10.96-24.43 24.43-24.43.61 0 1.19.02 1.79.08h.05c12.62.93 22.6 11.5 22.6 24.35 0 3.45-.98 6.8-2.83 9.69ZM68.99 92.52H57.01c-.45 0-.82.37-.82.82v9.92c0 .44.37.82.82.82h11.98c.44 0 .81-.38.81-.82v-9.92c0-.45-.37-.82-.81-.82Zm-11.17 1.63h10.35v8.29H57.82v-8.29Z\" fill=\"#4B4B4B\"><\/path><\/svg><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:70%\">\n<h2 class=\"wp-block-heading\">Medical Records Questions?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Questions about medical release forms? Contact us.<\/p>\n\n\n\n<p class=\"is-style-utkwds-cta-link wp-block-paragraph\"><a href=\"tel:865-974-5080\" id=\"tel:865-974-5080\" target=\"_blank\" rel=\"noreferrer noopener\">Call us at 865-974-5080, option 2<\/a>&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The Student Health Center will release medical information&nbsp;when requested in the following manner:&nbsp; Medical Release Forms Download the General Medical Records Release Form \u2013 Records From Student Health to Other Entity Download the General Medical Records Release Form \u2013 Records From Other Entity to Student Health Download the Psychiatric Medical Records Release Form &#8211; Records [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":50,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"no-title","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-55","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Medical Records - Student Health Center<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/studentlife.utk.edu\/student-health\/forms-polices\/medical-records\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Medical Records - Student Health Center\" \/>\n<meta property=\"og:description\" content=\"The Student Health Center will release medical information&nbsp;when requested in the following manner:&nbsp; 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