Patient Medical Record Release Form
Disclosure of Medical Information
Authorization for Harvard University Health Services to release your medical records to the parties you specify.
Release of Medical Information
Authorization for your health care provider to release your medical records to Harvard University Health Services.
Estimate Request Form
Estimate for Procedure, Treatment, or Test
Request a written estimate for services provided by Harvard University Health Services.
Student Immunization Forms
Fall term deadline: June 15, 2015
Spring term deadline: January 4, 2016
We recommend that you obtain your immunizations before you arrive at Harvard, since many health insurance plans cover the costs of immunizations. Students unable to obtain immunizations prior to arrival on campus must arrange for immunizations in the local area, including Harvard University Health Services. Please note that if you receive your immunizations at HUHS you will be billed for the cost of the immunization.