Health Information Management and Compliance
The HIM department staff is responsible for the quality control of patients’ health information and the handling of all requests to release or obtain health information. The HIM department is located on the 2nd floor of the UCF Health Center.
The best and quickest way to view your immunization record, lab results, and summary of visit is to log into your Patient Portal account.
Requesting Copies of Your Medical Records -OR- Requesting Outside Records from Another Facility to Send to UCF SHS
Please download and complete our Authorization to Release Protected Health Information Online Form
*IMPORTANT* If you do not receive an e-mail copy of your submission to the e-mail address you provided, your submission DID NOT go through.
Please note: To authorize sensitive information (including but not limited to HIV/AIDS, STD, psychiatric records, drug and/or alcohol abuse, and sexual assault records) to be released, you must initial when prompted on the form.
Patients who are a minor (17 years old or younger) at the time of completing the form, will need a parent or legal guardian to sign the form.
Records for Personal Use Only: there may be copying fees incurred:
|Portal/Email (more than 5 pages)
|Portal/Email (less than 5 pages)
|$1.00/page for the first 25 pages
$0.25/page for additional pages
There is no fee for sending records to another facility.
Consent to Discuss
To authorize UCF SHS to discuss your medical care, treatment, billing, services, etc. to a designee, please submit a Consent to Discuss form.
**NOTE** The Consent to Discuss does not grant permission for the following actions to the designee listed below:
- scheduling appointments on behalf of a student (18 or older)
- releasing copies of medical records i.e. (billing statements, laboratory results, or treatment services, etc.)
For any questions, please email or call UCF Student Health Services Medical Records at email@example.com or 407.823.2701 Option 3 for assistance.
Please note: every effort will be made to release the record within 5 working days
To request your dental records please complete the form below and fax to 407.823.5140. For dental questions, please call 407.823.1635.
For information regarding the immunization form required of all new students, please visit our Immunization Information page.
Consent to Treat a Minor
For patients under 18 years of age parental consent is needed for treatment. Parents may consent by signing Section D of the required UCF Mandatory Immunizations
Know Your Rights
All UCF SHS staff abide by the Health Insurance Portability and Accountability Act (HIPAA) enacted to protect the privacy of patient health records.If at any time you feel your privacy rights have been violated, a written complaint may be submitted to the UCF SHS HIPAA Privacy Officer or to the Director of Office for Civil Rights (OCR) at U.S. Department of Health and Human Services.