This article is a reprint of the National Association of School Nurses' "Issue Brief" on Privacy Standards for Student Health Records. It distinguishes between the Family Education Rights and Privacy Act (FERPA) and the Health Insurance Portability and Accountability Act (HI-PAA), clarifies which of these laws governs the privacy of student health records, and briefly discusses the major legal standards related to student health records. In addition, it addresses the role of the school nurse in this practice area.