Medical Record Due Dates

Please complete the appropriate health record and return it directly to Brandeis Health Center.

HEALTH FORMS

Health Records are required to meet state regulatory requirements regarding required screenings and immunizations as well as to inform your medical care as a patient of Brandeis Health Center.

Undergraduate Health Record

Graduate Health Record

Gateway Health Record

Meningococcal Waiver

Medical Record Release for paper records held at Brandeis Health Center

Notice of Privacy Practices

Patient Rights and Responsibilities