Release of Medical Records
Bucknell Student Health is required by government regulations to receive written permission from a student before sharing any medical information with other health providers (for reasons other than continuation of care). This written permission is also needed for any disclosure of information to a student’s parent/guardian. In order for Bucknell Student Health to release your medical information, you must provide a written request.
Please be aware that any information release that is not sent directly to another physician/medical facility for continuation of care cannot be faxed or emailed. It must be sent through regular mail or picked up by the patient. Authorization forms for release of information may be obtained below or at the Student Health office.
Current Students and Post-2013 Graduates
Current students and alumni who graduated after spring 2013 should use the following form to request copies or release of medical information.
- Request for records related to treatment after spring 2013 should be submitted to firstname.lastname@example.org. Please complete the Geisinger release form.
- Request for records related to treatment prior to spring 2013 should be submitted to the Dean of Students office. Please note paper charts are kept for 7 years, and then are destroyed.