Policies and Forms

Medical Record Requests

For medical records request, contact Vanderbilt University Medical Center Medical Records Department. You may call Medical Records at 615-322-2062 or may view information here

This form should be submitted directly to VUMC Medical Records Department

Release of Information

PCC Consent for Release of Information

Authorization for Verbal Communication/Letter to campus partners, significant others, family members, and release of full testing reports

Please fill out a separate release form for each person and each department.

Please note that electronically submitted Releases of Information must include a picture of the student's photo ID to be accepted.

New Client Appointment Policy

No Show Policy Return Appointments