Students requesting medical /immunization records will be required to complete a Release of Authorization Form. 
Please contact the Cashier’s Office @ (504)520-5226 to submit payment.

Please fax the completed form to (504)520-7962 or Mail to: Student Health Services, 1 Drexel Dr., Box 36, New Orleans, LA 70125

Upon receipt of the Release of Authorization Form and notification from the Cashier’s office of payment your request will be fulfilled
within 48 – 72hrs.

click here to download and print form

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

Thank You
The Office of Student Health Services Staff