Privacy Practices and Consent Forms
Every patient and client of University Health Services will be asked to sign a form permitting UHS to treat them and advising them of certain practices related to their care. This is a one-time permission that remains in force for all your treatment at UHS.
UHS takes the confidentiality of your medical and mental health records very seriously. Please refer to the links below to learn about the federal and state laws governing the release of your protected health information.
- Information and Consent Form -- for Students [pdf]
- Frequently Asked Questions About Consent for Treatment Form [pdf]
- University Health Services Privacy Information for Students [pdf]
Statement of Rights and Responsibilities for All UHS Patients and Clients
UHS Statement of Confidentiality Regarding Sexual Violence
UHS medical and mental health records are protected by federal law. UHS does not disclose information to parents or guardians for students over the age of 18 without the student’s consent. Students have the right to receive information about and assistance with advance directives and designating someone (known as a health care power of attorney) to make health care decisions for them in the event that they are unable. Being a Designated Agent for Advance Directives or Health Care Power of Attorney does not automatically allow access to the medical records.