Release of Health Information

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Confidentiality and Release of Protected Health Information

To maintain patient confidentiality and assure compliance with federal and state privacy laws, health information may not be released without a patient’s written authorization (except as permitted by law). The information below describes the process of requesting your health or counseling records at Westminster Wellness Center.

 To request your health or counseling records, you will need to submit a release of records authorization form. This form may be submitted in person, by fax, or by mail:

         Westminster College Wellness Center; 319 South Market Street; New Wilmington, PA 16172

Please note:

  • Records involving HIV/AIDS test results, drug and alcohol abuse, diagnosis, or treatment is further protected and requires an additional release.
  • Counseling records may require longer process time since they must be reviewed by a mental health provider before being released.
  • Records beyond 7 years of last visit encounter may not be available.
  • The Wellness Center requires that requests for health information specify the type(s) of health information and treatment date(s). We do not accept uninformed consent requests for “All” future records.

Immunization Records for Yourself, or an Outside Provider or Facility

This section applies if you are requesting only immunization records.

Former and current students can come to the information desk at the Wellness Center with a current photo ID to request a free copy of all immunizations currently included in your health record. This includes lab titers and positive Tuberculosis Test (Quantiferon lab or PPD skin test) chest x-ray reports.

If you are requesting immunizations records to be sent to an outside provider, or mailed to your home:

  • Signed and completed authorization form (PDF) is required.
  • Up to 15 calendar days to process request.

Health Records for Personal Use

  • Signed and completed authorization form is required.
  • Students can request to pick up paper copies of their health records at the Wellness Center.
  • Students may request records are mailed to home address.
  • Processing time can be up to 15 calendar days.

Health Records to an Outside Provider or Facility

  • Signed and completed authorization form is required.
  • Processing time can be up to 15 calendar days