Release of Records Request

Requesting Your Health Records from Health & Counseling Services

Students can request their health records from Health & Counseling Services by completing the following form:

Release of Medical Information Form
Please note the following information before making your request:

1. Processing time is typically 3-5 business days.

2. Medical records in Gonzaga Health & Counseling Services are retained for 10 years after you leave the university.

3. The request form can be emailed to us at, faxed to us at 509-313-5516, mailed to us at 502 E. Boone Ave MSC 2506 Spokane, WA 99258 or dropped off during business hours.

4. Health & Counseling Services can only release your health records through the following methods: fax, mailing address or picked up during business hours.

5. We cannot accept electronic signatures on the request form.