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Forms
For Undergraduate Students
Health and Immunization Report
This form includes the Meningococcal Waiver and the Tuberculosis (TB) Risk Questionnaire.
Complete this form to enroll in the QSHIP or to waive the QSHIP by providing your private insurance information.
Release of Medical Information Form
Complete this form to request information from your Brandeis medical record. Please note we need at least three business days to process these requests.
For Graduate Students
Health and Immunization Report
This form includes the Meningococcal Waiver and the Tuberculosis (TB) Risk Questionnaire.
Complete this form to enroll in the QSHIP or Tufts insurance plan, or to waive the QSHIP by providing your private insurance information.
Release of Medical Information Form
Complete this form to request information from your Brandeis medical record. Please note we need at least three business days to process these requests.