Forms

Incoming Student Health Requirements

• First Year Student (Freshman)
• Charles River Campus & School of Public Health
• Medical (MD), Dental, & clinical Graduate Medical Sciences students
• Summer Programs

Return From Leave of Absence Forms

• Leave of Absence Instructions
• Community Provider Report
• Student Report
• Release of Information – General Authorization to Disclose PHI

Other Forms

• Release of Information
• Aetna Student Health – Prescription Claim Form
• Aetna Student Health – Medical Claim Form
• Privacy Practices
• Meningococcal Information Form
• Immunization Information Form
• Health Care Proxy Information and Form