Medical Information Forms

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.

Student Vaccine Exemption

Meningococcal Information & Waiver

*Information about Global Waivers at HUHS.

Other Forms

Health Care Proxy/Advance Directive Form
Identify someone you know and trust to make health care decisions for you if you become unable to make those decisions.

Living Will Wishes
Provide specific written instructions for your future medical care.

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.