If you need to request records for any reason please fill out this form.
Before September 2024: How to request medical/mental health records for services:
If you received medical and/or mental health services from SOU’s Student Health & Wellness Center before September 2024 and would like to request copies of these records, please complete this form and upload here or fax it to (541) 552-7071. These records are now maintained by SOU’s legal counsel’s office. If you need to speak to someone about this process, please contact:
Holly Frazier
Phone: (541) 552-8055
Fax: (541) 552-7071
Email: frazierh@sou.edu
After September 2024: How to request medical/mental health records for services:
The Student Health & Wellness Center is now operated by La Clinica and does not have access to any medical and/or mental health records prior to September 2024. If you have received medical and/or mental health services by La Clinica’s Student Health & Wellness Center after September 2024 and would like to request your medical and/or mental health records, please contact us at (541) 494-4875.
Students who got care at the Student Health and Wellness Center before September 2024 need to fill out this release form to share their medical records with La Clinica or any other provider.