Sorry, we're not quite paperless. Yet. You can do a lot on our website. But protecting the confidentiality of your medical records sometimes requires getting an actual signature on an actual sheet of paper.
Confidential Medical Information
Want to authorize the release of information to your parents or another medical provider? Download the Authorization of Release of Information.
Want to confirm that we are not sharing your information with anyone you don't want to? Download the Notice of Privacy Practices Acknowledgment of Receipt.
Please note there will be a charge for copies except for requests for continuity of medical care.
Billing Information
Want to share information about specific IU Health Center charges with your parents or a third-party insurer? Download the IU Health Center Business Office Release of Information.
If you feel you have been charged inappropriately or incorrectly, submit a Request for Billing Review.
Bring your completed forms to the IU Health Center, or fax them to (812) 855-4628.
Financial Assistance for Gardasil HPV Vaccine
Merck Patient Assistance Program Application (Financial assistance for the Gardasil HPV vaccination for low-income and uninsured patients)
