Authorization to Release Medical Records
This form should be completed when requesting Health Services to release your medical records we have on file.
This form allows the college to release immunization, treatment, laboratory and physical exam records as necessary.
Get in Touch
Health Services
Siek Campus Center, Suite 270
Fax: (518) 629-7471
Office Hours: Monday - Thursday: 8 a.m. - 5 p.m.; Friday: 8 a.m. - 4:30 p.m.