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:
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)
1 University of New Mexico
Albuquerque NM 87131-0001
FAX: (505) 277-2020
For more information, call UNM SHAC at (505) 277-3136.