{"id":3205,"date":"2023-08-09T11:40:02","date_gmt":"2023-08-09T16:40:02","guid":{"rendered":"https:\/\/www.winona.edu\/student-life\/?page_id=3205"},"modified":"2023-09-19T16:10:45","modified_gmt":"2023-09-19T21:10:45","slug":"medical-records-forms","status":"publish","type":"page","link":"https:\/\/www.winona.edu\/student-life\/wellness\/health-services\/medical-records-forms\/","title":{"rendered":"Medical Records &amp; Forms"},"content":{"rendered":"\n<p>Medical records are confidential. Information is given to a third party only with the student\u2019s written consent.&nbsp;<\/p>\n\n\n\n<p>Parents, faculty, university administration, and potential employers do not have access to your medical records.<\/p>\n\n\n\n<p>To get a copy or send medical records elsewhere, complete &amp; sign an&nbsp;<a href=\"https:\/\/www.winona.edu\/wp-content\/uploads\/2023\/09\/AUTHORIZATION-MEDICAL-RELEASE-GENERAL-2017.pdf\" data-type=\"link\" data-id=\"https:\/\/www.winona.edu\/wp-content\/uploads\/2023\/09\/AUTHORIZATION-MEDICAL-RELEASE-GENERAL-2017.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Authorization to Release Medical Information<\/a>&nbsp;(PDF). You can also use this form to revoke someone\u2019s access to your WSU medical records.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Health Services Forms<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a rel=\"noreferrer noopener\" href=\"https:\/\/warriorspace.winona.edu\/ProcessDirector\/form.aspx?formid=e4ddddcc-cb8d-4dec-a73f-970da6148c86&amp;pid=cbc76cfa-e332-489a-a868-237dcf390893\" data-type=\"URL\" data-id=\"https:\/\/warriorspace.winona.edu\/ProcessDirector\/form.aspx?formid=e4ddddcc-cb8d-4dec-a73f-970da6148c86&amp;pid=cbc76cfa-e332-489a-a868-237dcf390893\" target=\"_blank\">WSU Student Immunization Record Form<\/a>&#8211; Use this form to send your Immunization Record to WSU as proof that you have met the&nbsp;<a href=\"https:\/\/www.winona.edu\/student-life\/wellness\/health-services\/clinic-services\/immunizations\/#requirements\" data-type=\"link\" data-id=\"https:\/\/www.winona.edu\/student-life\/wellness\/health-services\/clinic-services\/immunizations\/#requirements\">required immunizations<\/a>.<\/li>\n\n\n\n<li><a href=\"https:\/\/www.winona.edu\/wp-content\/uploads\/2023\/09\/WSU-HIPAA-Consent-Form-2021.pdf\" data-type=\"URL\" data-id=\"https:\/\/www2.winona.edu\/healthservices\/Media\/WSU-HIPAA-Consent-Form.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Annual Authorization Form (HIPAA)<\/a> (PDF) &#8211; Use this form to allow Health &amp; Wellness Services to share your medical information with your insurance company and other health care providers&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.winona.edu\/wp-content\/uploads\/2023\/09\/AUTHORIZATION-MEDICAL-RELEASE-GENERAL-2017.pdf\" data-type=\"link\" data-id=\"https:\/\/www.winona.edu\/wp-content\/uploads\/2023\/09\/AUTHORIZATION-MEDICAL-RELEASE-GENERAL-2017.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Authorization to Release Medical Information Form<\/a> (PDF) &#8211; Use this form to share your medical records with specific people, such as your parents<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Appointment Verification<\/strong><\/h2>\n\n\n\n<p>If you have a prolonged illness or injury that requires medical attention, Health Services will provide documents to verify any appointments. This will help provide evidence for excused absences.<\/p>\n\n\n\n<p>Students should also consult the\u00a0<a href=\"https:\/\/www.winona.edu\/wp-content\/uploads\/2023\/09\/Temporary-Conditions-Checklist-2022-1.pdf\" data-type=\"URL\" data-id=\"https:\/\/www2.winona.edu\/sld\/Media\/Temporary-Conditions-Checklist.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Temporary Conditions Checklist<\/a>\u00a0(PDF) for more resources.<\/p>\n\n\n\n<p>Faculty members cannot ask Health Services staff to confirm or deny appointment information for students. It is up to the student talk to their professors whenever they miss class due to illness or injury.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Appointment Verification Policy<\/h3>\n\n\n\n<p>It is the policy of Winona State Health &amp; Wellness Services not to provide students with excuses for short-term absences from class or missed deadlines due to illness or injury. If a student has a prolonged illness or injury needing medical attention, staff will work with students to provide documentation. At the appointment, students can request a \u201cverification of visit\u201d that states the date of the appointment and the clinician\u2019s or nurse\u2019s signature.<\/p>\n\n\n\n<p>This policy reflects our respect for students\u2019 privacy. It also is our educational mission to help students become independent by taking responsibility for their own health care. It is consistent with the policies of many other institutions and the recommendations of the American College Health Association.<\/p>\n\n\n\n<p>When students want excuses after a brief illness or injury that they managed by self-care, our clinicians may have no direct knowledge about the student\u2019s condition at the time of the absence. Therefore, we cannot provide documentation.&nbsp;<\/p>\n\n\n\n<p>We recognize that faculty want an equitable way of determining when to excuse student absences. This policy reinforces the students\u2019 responsibility to communicate directly and efficiently with their professors about conditions that interfere with their class attendance.&nbsp;<\/p>\n\n\n\n<p>Students are encouraged to speed their own recovery and to refrain from spreading infections such as colds and flu throughout the campus community by making smart decisions about when they are too sick to attend class or go to work. We appreciate all the ways that faculty and other members of the campus community support and assist students during absences related to illness and injury.&nbsp;<\/p>\n\n\n\n    <div class=\"panel panel--white\">\n        <div class=\"panel__container\">\n            <div class=\"panel__intro\">\n                            <div class=\"h3\">Contact Health Services<\/div>\n                        <\/div>\n            \n\n<div class=\"wsu-block grid grid--33\">\n    <div class=\"wsu-block contact-card mb-1\">\n   <div class=\"contact-card__content\">\n       <div class=\"contact-card__title h4\">\n           Health &amp; Wellness Services\n       <\/div>\n       <div class=\"contact-card__subtitle h4\">\n           \n       <\/div>\n       <div class=\"contact-card__description\">\n           <p>IWC 222<\/p>\n<p>Appointment Line: 507.457.5160<\/p>\n<p>Ask-a-Nurse Message Line: 507.457.2292<\/p>\n<p>Fax: 507.457.2326<\/p>\n\n       <\/div>\n       <a class=\"wsu-link contact-card__link\"><\/a>\n   <\/div>\n<\/div>\n<div class=\"wsu-block contact-card mb-1\">\n   <div class=\"contact-card__content\">\n       <div class=\"contact-card__title h4\">\n           Office Hours\n       <\/div>\n       <div class=\"contact-card__subtitle h4\">\n           \n       <\/div>\n       <div class=\"contact-card__description\">\n           <p>In-person and telehealth appointments are available.<\/p>\n<p>If you are experiencing a <a href=\"https:\/\/www.winona.edu\/student-life\/wellness\/health-services\/#emergency\">medical emergency<\/a>, call 911.<\/p>\n<p><strong>Academic Hours<\/strong><\/p>\n<p>Monday-Friday | 7:30am\u20134:30pm<\/p>\n<p><strong>Summer Hours<\/strong><\/p>\n<p>Clinic is open Tuesday-Thursday | 7:30am\u20134pm<\/p>\n<p>Office is open Monday-Friday | 7:30am\u20134pm<\/p>\n<p>&nbsp;<\/p>\n<p>Our Clinic and Office are closed on holidays.<\/p>\n\n       <\/div>\n       <a class=\"wsu-link contact-card__link\" href=\"https:\/\/winona.studenthealthportal.com\/\" target=\"_blank\" title=\"\">Make an Appointment<\/a>\n   <\/div>\n<\/div>\n<div class=\"wsu-block contact-card mb-1\">\n   <div class=\"contact-card__content\">\n       <div class=\"contact-card__title h4\">\n           Social Media\n       <\/div>\n       <div class=\"contact-card__subtitle h4\">\n           \n       <\/div>\n       <div class=\"contact-card__description\">\n           <p style=\"font-weight: 400\"><a href=\"https:\/\/www.facebook.com\/WSUhealth\/\" target=\"_blank\" rel=\"noopener\">WSU Health Services Facebook<\/a><\/p>\n<p style=\"font-weight: 400\"><a href=\"https:\/\/www.instagram.com\/wsuhealth\" target=\"_blank\" rel=\"noopener\">WSU Health Services Instagram<\/a><\/p>\n<p style=\"font-weight: 400\"><a href=\"https:\/\/www.tiktok.com\/@wsuhealth\" target=\"_blank\" rel=\"noopener\">WSU Health Services TikTok<\/a><\/p>\n<p style=\"font-weight: 400\"><a href=\"https:\/\/blogs.winona.edu\/wellness\/\" target=\"_blank\" rel=\"noopener\">Wellness Blog<\/a><\/p>\n\n       <\/div>\n       <a class=\"wsu-link contact-card__link\"><\/a>\n   <\/div>\n<\/div>\n<\/div>\n\n\n        <\/div>\n    <\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>All medical records are confidential at WSU&#8217;s Health Services. If you need to share your medical records, you may access release forms.<\/p>\n","protected":false},"author":20,"featured_media":0,"parent":3172,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_tec_requires_first_save":true,"_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"_tribe_blocks_recurrence_rules":"","_tribe_blocks_recurrence_description":"","_tribe_blocks_recurrence_exclusions":"","footnotes":""},"categories":[64],"tags":[16,9],"class_list":["post-3205","page","type-page","status-publish","hentry","category-health-services","tag-legacy","tag-policy"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.winona.edu\/student-life\/wp-json\/wp\/v2\/pages\/3205","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.winona.edu\/student-life\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.winona.edu\/student-life\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.winona.edu\/student-life\/wp-json\/wp\/v2\/users\/20"}],"replies":[{"embeddable":true,"href":"https:\/\/www.winona.edu\/student-life\/wp-json\/wp\/v2\/comments?post=3205"}],"version-history":[{"count":10,"href":"https:\/\/www.winona.edu\/student-life\/wp-json\/wp\/v2\/pages\/3205\/revisions"}],"predecessor-version":[{"id":3839,"href":"https:\/\/www.winona.edu\/student-life\/wp-json\/wp\/v2\/pages\/3205\/revisions\/3839"}],"up":[{"embeddable":true,"href":"https:\/\/www.winona.edu\/student-life\/wp-json\/wp\/v2\/pages\/3172"}],"wp:attachment":[{"href":"https:\/\/www.winona.edu\/student-life\/wp-json\/wp\/v2\/media?parent=3205"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.winona.edu\/student-life\/wp-json\/wp\/v2\/categories?post=3205"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.winona.edu\/student-life\/wp-json\/wp\/v2\/tags?post=3205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}