Release of Medical & Counseling Records

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UNM Student Health & Counseling (SHAC)

A written authorization from the patient is required in order for UNM Student Health & Counseling (SHAC) to release medical and/or counseling information or copies of a patient's chart. The following SHAC Release of Information form can be mailed or faxed to Student Health and Counseling:

UNM SHAC - Release of Information Form

There may be a fee for the information released.

If mental health information is requested, additional information may be required. The information will be mailed to the address on the release form or letter of the request. Requests should be mailed or faxed to:

Medical Records Department
UNM Student Health & Counseling (SHAC)
MSC06 3870
1 University of New Mexico
Albuquerque NM 87131-0001

FAX: (505) 277-2020

For more information, call UNM SHAC at (505) 277-3136.

PLEASE NOTE: If you need information from UNM Hospitals or the UNM Health Sciences Center clinics, please use their Release of Information Form and submit it to their office. (See right hand column for contact info.) We do not have access to their records and cannot process those requests.

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UNM Health Sciences Center (UNMH or UNMHSC)

UNM Health Sciences Center - Release of Information Form

UNM HSC Phone: (505) 272-2141
UNM HSC Fax: (505) 272-0468