All information is considered confidential and will not be released without the patient’s written consent or a signed court order. Counseling and Psychological Services retains medical records for 7 years past the last date on which the service was given.

Your medical records may include history, diagnoses, and/or treatment of drug or alcohol abuse, mental illness, or communicable disease, including Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS).

To request copies of your records

Send or bring a completed Authorization to Release Mental Health Records Form.

• IN PERSON
  Submit an Authorization for Release of Mental Health Records Form with a picture ID to the Counseling and Psychological Service front desk. 
• MAILED REQUESTS Send a completed Authorization for Release of Mental Health Records Form, legible copy of your picture ID to Counseling and Psychological Services. Checks accepted.
• FAX REQUESTS
  Fax a completed Authorization for Release of Mental Health Records Form and a legible copy of your picture ID to Counseling and Psychological Services at 713-743-5446. Contact Counseling and Psychological Services at 713-743-5454 after faxing your request.

Counseling and Psychological Services will respond to complete/authorized request for mental health records within approximately seven (7) to fifteen (15) days after the receipt of a valid request. Records may be sent by mail or held for pick-up. Upon request Counseling and Psychological Services will fax records.

Please read the instructions above before completing the authorization form.