Student Health Services at The College of New Jersey is committed to upholding the highest standards regarding the confidentiality of health records. The following instructions as to how to request and release your medical records are designed to protect your privacy and the confidentiality of your records.
To request your record, fill out the Authorization to Release Health Information [PDF 59k] form completely and be very specific about what you want released (entire chart, immunizations, lab results, etc.). Remember to indicate whether you will be picking up the copies of your records in Student Health Services or where you would like us to mail them. We do not fax or email medical records. However, an exception can be made for immunization records only. The College of New Jersey retains inactive medical records for 10 years. Note that this request is only for your records from Student Health Services, not for those from Planned Parenthood or Counseling & Psychological Services (CAPS) (see below for more information). You will need to download the latest version of Adobe Acrobat Reader in order to correctly view and print PDF (Portable Document Format) Files. It is FREE.
The Authorization to Release Health Information cannot be used to release health information relating to future medical care. Current Student Health Services’ patients may only use this form to request copies of PAST medical or immunization records or to allow a third party (including parents) verbal access to current diagnoses/treatments for specific conditions for a designated period of time.
Should a patient 18 or over wish to release specific medical information to a third party such as a parent or family member, they should inform their 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.
There is no charge for this service. Allow 7 business days for processing of request.
Mail completed authorization form to:
The College of New Jersey
Student Health Services
P.O. Box 7718
Ewing , New Jersey 08628
or email completed form to email@example.com.
MEDICAL RECORD REQUESTS FOR YOUR RECORDS FROM PLANNED PARENTHOOD: To request your health records from Planned Parenthood of the Mercer Area Inc., 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.
MEDICAL RECORD REQUESTS FOR YOUR RECORDS FROM COUNSELING & PSYCHOLOGICAL SERVICES (CAPS): Call their office at (609) 771-2247.