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Release of Health Information

Student Health Services at The College of New Jersey is committed to upholding the highest standards regarding the confidentiality of health records.

To request a copy of your medical record, print out the Authorization for Release of Health Information.  Student Health Services retains medical records for 10 years after a student leaves The College of New Jersey.

Be very specific about what you want released.  Sign (handwritten) and date the form to avoid delays in processing your request. Note that this request is specific to Student Health Services and therefore will not contain records you may have in Planned Parenthood, Counseling & Psychological Services (CAPS), Alcohol and Drug Education Program, Anti-Violence Initiatives, Athletics or any other office on campus (see below for more information).  Allow 7 business days for retrieval of records from off-campus storage and processing of request.  If picking up your records in-person, bring your Driver’s License with photo ID so that we can verify your identity.  

Currently enrolled students -- Just need your Immunization Record?  Log on to OWL and print it out. (Click on Immunization, then on View History.  Then select Print). 

Email the Authorization for Release of Health Information to or mail to:

The College of New Jersey Student Health Services
P.O. Box 7718
Ewing, New Jersey   08628


Immunization Record Free
TB Test Record Free
All other medical records $10.00 for 1-10 pages
$1.00 for each additional page after 10 pages
We will call or email you with the total cost after your record is retrieved.  Payment must be made before records are sent.

We accept payment by personal check, cash, Visa, MasterCard or Discover.

The Authorization for Release of Health Information cannot be used to release health information relating to future medical care nor can it be used to release medical records from an entity other than TCNJ Student Health Services.   Current Student Health Services’ patients may only use this form to request copies of PAST medical or immunization records.

Should a patient 18 years of age and older wish to release specific medical information to a third party such as a parent or family member, they should inform their Student Health Services’ health care provider during or immediately after their visit.  As each visit is treated individually, the patient must inform their health care provider of their wishes at each visit.

REQUESTING MEDICAL RECORDS FROM PLANNED PARENTHOOD:   To request your health records from Planned Parenthood of Central & Greater Northern New Jersey, contact them at their TCNJ office at (609) 771-2110.   Please note that Planned Parenthood is open only during the Fall and Spring semesters.  They are closed during semester breaks and in the summer.  If you need your health record and Planned Parenthood is closed, please call the Planned Parenthood main office at 437 East State Street, Trenton, N.J. at (609) 599-4881.


Need your health information records from another office on campus?  Click HERE for the TCNJ Office Directory.