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Wake Forest University Student Health Service in Winston ... 2026

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  1. Click ‘Get Form’ to open the Wake Forest University Student Health Service Medical Record Information Release Form in the editor.
  2. Begin by entering your name in the designated fields: Last, First, and Middle. This ensures that your records are accurately identified.
  3. Next, input your WFU ID number and birth date in the specified format (MM/DD/YYYY) to verify your identity.
  4. Provide your cell number for any necessary follow-up regarding your request.
  5. Choose option A or B to indicate whether you want records sent to a specific address or if you are requesting information from another party. Fill in the required address details accordingly.
  6. In the section describing the portion of records to be released, specify any particular information needed. Be mindful of sensitive data such as HIV, Mental Health, and Drug & Alcohol information.
  7. State the reason for releasing this information clearly in the provided field.
  8. Finally, sign and date the form at the bottom. Ensure a witness is present if required before submitting your request.

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Related links

Screening and brief intervention for tobacco use by student

by EL Sutfin 2012 Cited by 19 This study assessed college students reports of tobacco screening and brief intervention by student health center providers.Read more

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Student Health - Office of Educational Excellence

Students and teammates have access to a health clinic located at Wake Forest Biotech Place in downtown Winston-Salem that offers medical evaluation and

Learn more
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