Student Health Services

Release of Information
Authoriziation for Release of Health Information

Students requesting medical/immunization records will be required to complete a Release of Information Form. Upon receipt of the Release of Imformation Form and payment, your request will be fulfilled within 48 - 72 hours. 

Please fax the completed form to:

or mail to:
Student Health Services
1 Drexel Dr., Box 36
New Orleans, LA 70125

NOTICE:  Requests for records will not be fulfilled during Xavier University of Louisiana Fall and Spring Registration.

Thank You,
The Office of Student Health Services Staff