All student health services are confidential. Parents, professors and peers will not be given information without your written authorization

Submitting our Authorization to Release Form (PDF 100KB) is necessary if you'd like your medical records to be released to you or someone else.

A signed, submitted release form is required each and every time a request is made.

  • Print it out
  • Please fill it out completely
  • Sign the signature line

You can provide us with your completed form a number of ways: 

In Person or By Mail:

131 Millennium Student Center, St. Louis, MO 63121




Email is not a secure method for transmitting confidential records.