In order to request a copy of your confidential records from Student Health Services (SHS), please complete the Authorization for Release of Confidential Information. In order to protect your privacy, the form must be notarized so we can verify we are releasing the information to the correct person. You can scan the notarized form and email it to SHS at firstname.lastname@example.org, FAX it to (850) 857-6100, or mail it to:
|University of West Florida|
|11000 University Parkway|
|Building 960 - Suite 106|
|Pensacola, Florida 32514|
If you have any questions, please contact SHS at (850) 474-2172.