Release of Medical Information

All UMW Student Health Center medical records are retained for 7 years after graduation and then destroyed. If you would like a copy of any portion of your Health Record, please complete the editable PDF file Record Release Authorization. You may type your information directly into the PDF before printing or print the form and fill out by hand.

FAX the completed form to (540) 654-1077 OR

MAIL the completed form to:

University of Mary Washington
Student Health Center
1301 College Avenue
Fredericksburg, VA 22401

Please allow 3 to 5 days for processing. There is no charge for this service.

Please direct any questions to the Student Health Center at (540) 654-1040 or email us at