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

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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