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Washington University in St.Louis

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Connecting student life at WashU

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Health and Wellness Habif Health and Wellness Center

Release of Information Form

The release of information form authorizes Habif Health and Wellness Center to use and disclose protected health information.

Release of Information Form (PDF)

Related Resources

  • HIPAA Privacy Policy and Procedures

    Learn about Washington University's policies and procedures related to the HIPAA privacy and security rule.

  • Notice of Privacy Practices

    Safeguarding your health information is important to us. Our privacy practices describe how, when and why we may disclose your health information.

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Washington University in St.Louis

About the division:

  • Danforth University Center, Suite 200
  • 314-935-4526
  • studentaffairs@wustl.edu
  • Hours: Mon-Fri 8:30 a.m.-5 p.m.

LEARN ABOUT THE DIVISION

Resources for:

  • First year students
  • Graduate and professional students
  • Parents and family members
  • Faculty and staff

Have a question or complaint?

We love to hear from you. Send us questions or concerns through our confidential form.

Student feedback form

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