Authorization for Release of Information FROM Lincoln University:
To have Lincoln University Student Health Center release your medical records, please open printer-friendly version of document, print, complete, and submit to our office. Forms may be submitted in person to Thompkins Center; by fax to (573) 681-5877; or by mail to Lincoln University Student Health Center, 822 Lee Drive, Jefferson City, MO 65101.
Authorization for Release of Information TO Lincoln University:
To have your medical information released to Lincoln University Student Health Center, please open printer-friendly version of document, print, complete and submit to agency you are requesting information from.
