Medical Records
ASU Health Services and Counseling Services maintains records on an Electronic Medical Record (EMR) system in accordance with HIPAA/HITECH, Federal and State Laws. Your original medical record is the property of ASU, but the information in it belongs to you.
Your Health Services and Counseling Services medical records are separate records, and each requires a specific request. Before receiving copies of your records or authorizing records to be disclosed, you can submit a request via your Health Portal or complete an authorization form. If providing the form, you will need a picture ID. To avoid a copying fee, request that your records be sent to your health portal account or sent directly from our facility to another facility for continuing care. Processing times for non-medical emergencies can take up to 10 business days.
If a student requests to have their records released, both Health Services and Counseling Services are required to obtain a request via the health portal or written release, which will allow the transfer of the medical record. If providing the form, you will need a picture ID. A separate release request is required for each transfer.
Health Services Request Form
Counseling Services Request Form
How to upload your request form:
- Log in to your Health Portal
- Locate the messages tab
- Select “ I want to communicate with Health Medical Records”
- Upload your attachment
- Send
ASU Health Services
Medical Records Department
P.O. Box 872104
Tempe, Arizona 85287-2104
Office Hours: Monday – Friday 8 - 5 p.m.,
Phone: 480-965-3349 Fax: 480-965-6531
After you turn 18, you determine who can access to your medical records. You can do so by signing consent paperwork authorizing specific individuals (even your parents) to be able to obtain information or a copy of your record.
All consent paperwork is available on the Health Portal, can be completed during your visit with your clinician, or can be completed and sent to your Health Portal.
If you would like your parents to have physical copies of your records, please complete the form for the department you wish to have records released from.
Health Services Request Form
Counseling Services Request Form
If you would like your parents to receive private medical information to assist in medical/emergency care, and you have yet to list them on your consent during your first office visit, or if you would like to opt-out from sharing, please complete the form below.
Health Services Consent to Treat
Counseling Services Consent to Release Clinical Information
How to upload your request form:
- Log in to your Health Portal
- Locate the messages tab
- Select “ I want to communicate with Health Medical Records”
- Upload your attachment
- Send
ASU Health Services
Medical Records Department
P.O. Box 872104
Tempe, Arizona 85287-2104
Office Hours: Monday – Friday 8 - 5 p.m.,
Phone: 480-965-3349 Fax: 480-965-6531