Medical Records
YOUR CONFIDENTIALITY is a priority
at the University Health Center. All of your medical visits and records are held with the
strictest confidentiality. No one but you (the student) has access to your
records until a medical record release is completed. If you need a copy of your
personal medical records, please complete an Authorization to Release Medical
Information from the University Health Center form in its entirety and turn it
in at the front desk of the health center. The first copy of your medical record
is free. Additional copies are $18. You may also fax or mail the form.
Frequently asked Medical Records Questions
Getting your previous health records to the
University Health Center
If you need records from an outside
practitioner, please fill out an Authorization to Release Medical Records to
the UO Health Center in its entirety so that our staff may obtain your
previous medical records.
Medical Records Forms
Download Personal Health History Form
Download Authorization for Release of or Verbal Exchange of Confidential Medical Information from the University Health Center
Assistance with these forms is available Monday-Friday 9:00 a.m. - 5:00 p.m. Please allow ten business days for the processing of your
request. A confidential medical record is established and maintained for every
patient who receives care at the Health Center.
How do I obtain an Itemized Insurance
Statement?
STUDENTS WITH PRIVATE HEALTH INSURANCE may
request an itemized statement to submit for reimbursement of charges from the
University Health Center.
All health insurance plans are different. It
is best to call your insurance company to let them know health care is
available on campus. They will be able to tell you what your plan will cover.
You may request an itemized statement in
person with your photo I.D. at the front desk. Requests can also be made by
mail or fax, signed and dated by you, along with your printed name, student ID
number and complete mailing address.
Due to privacy laws, the Health Center cannot respond to phone
requests or requests from parents. Only YOU, the student, can access your
medical information.
If you need further assistance after you have
submitted your claim to your insurance company, please contact the Business
Office, Medical Billing Coordinator at 541-346-3572.
Contact Medical Records
The Medical Records Specialist is Rebecca M
Elsemore.
Rebecca may be contacted at:
1232 University of Oregon
Eugene, OR 97403-1232
E-Mail: rebels@uoregon.edu
Phone: 541-346-2620
Fax: 541-346-2747