Medical Records Release

If you need medical records please fill out the medical record release form and submit it to Student Health:

  • E-mail to
  • Fax to (205)975-6193
  • Mail to 930 20th Street South, Suite 221, Birmingham, Al. 35205.

This release form applies only to records kept by UAB Student Health Services. If you need to request records from the UAB Hospital or The Kirklin Clinic, please contact those offices directly.

Medical Record Release Form