The formation of integrated centers on college campuses that combine health services and counseling provide clear advantages for students. There is currently no "best practices" model that informs integrated centers' operational procedures. The "continuity of care" requirement of medical providers can conflict with the strict confidentiality guidelines of counselors, especially as it pertains to the sharing of patient information. Current informed consent procedures also contain deficiencies that should be addressed in integrated centers. Centers might refer to Health Insurance Portability and Accountability Act (HIPAA) standards which accord psychotherapy notes special status, excluding them from medical records. As we consider the stigma that is still attached to pursuing counseling services, we need to establish a system within integrated centers that does not pose additional barriers to students' help-seeking behaviors. Despite the challenges, positive collaboration can occur between medical providers and mental health personnel in devising documentation and record sharing procedures that safeguard student patients' privacy interests.