Request Medical Records
Request for Medical Records
To obtain copies of your medical records, please mail an Authorization for Release of Information to:
201 Hammond Health Center
953 Danby Road
Ithaca, New York 14850
email a pdf copy of the completed release of information form to firstname.lastname@example.org
Please print off the Authorization for Release of Information form on our documents section of our website or selecting the following link /sacl/healthcenter/docs/ReleaseInfo/.
The Health Center retains medical records for ten years from the last date of attendance at Ithaca College, and then all records are destroyed. Currently we have medical records from 2008 to current year. Please be specific about the information you are requesting, i.e. immunization records, a particular condition/diagnosis.
Note: we can only fax records to another medical facility such as your doctor's office, hospital or another college health center; otherwise records will have to be mailed.
If you have questions about completing the release form, please call Terri Hradisky at (607) 274-1183 or email: email@example.com