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 for Procedure, Treatment, or Test

Request a written estimate for services provided by Harvard University Health Services.

Missed Appointment Fee Appeal Form

Appeal a missed appointment fee from Harvard University Health Services.

Student Immunization Forms

We recommend that you receive your immunizations before you arrive at Harvard, since many health insurance plans cover the costs of immunizations. Students unable to receive immunizations before arriving on campus must arrange for immunizations in the local area. If you receive your immunizations at Harvard University Health Services, you will be billed for the cost of the immunization.

Fall term deadline: June 15, 2015
Spring term deadline: January 4, 2016