Forms

New York State Law requires medical records to be kept on file for six years after a student graduates or departs from an educational institution. All medical records are destroyed after six years.

Students' immunization records have been electronically maintained and may be released when an Authorization to Release Health Record is completed and signed by a former student. If paying by check or money order, click the above link to print the form. Please complete and sign the form, and mail it with payment to the Health Center.

If authorizing and paying by credit or debit card online, please click the following link to complete and submit the ONLINE Authorization to Release Health Record.

PLEASE NOTE:

The process may take up to a week before the designated recipient receives the immunization record.