and would like to release your medical information to yourself or to another person/clinic, please complete the electronic “Authorization to Release Health Information” form through the MyCUHealth ...

The Occupational Health Program maintains ... a request using the release form below. We will contact you if there is fee associated with this. Typically, duplicate or multiple requests will be ...

Please note that New York Public Health laws restrict the release of medical information ... If you wish to have medical information released you can print, complete and sign the form below. The form ...