Request for Medical Records
To request a copy of your medical records and/or immunizations:
Mail a written request and a completed Release of Information Form to:
ASU Health Services
ATTN: Medical Records
PO Box 32070
Boone, NC 28608-2070
Include the following items in your written request:
- Full name at the time you were a student
- Student ID number (banner ID)
- Date of birth
- Date of last semester attending ASU
- Check made out to ASU Health Services in the amount of $5.00 (no charge for immunization records only)
- Written signature
- Address you wish to have the information mailed to
Page content reviewed: 06/04/2018 fwg
