Health Records and Other Forms
This form is to request copies of your medical records which are kept at Brandeis Health Center for 10 years. It can also be used (when signed by an adult student) to allow us to speak to a designated person who calls us for information about the student's health.
Accessibility and Accommodation Forms
The Health Center does not directly provide accessibility accommodations for students but provides, as needed, a medical review and support for clarifying medically required accessibility and accommodation needs.
The process for Parking and Dietary Accommodation requests is managed through Student Accessibility Support with the Parking and Dietary Review Committees. Please see its site for more information on these processes.
For Incoming Students
All new, incoming students are required to complete a health report before arriving to campus.
To be completed by a medical provider only with identified positive screening risks.
A physical done within six months is required for NCAA athletes (submit a copy to Athletics as directed) and is recommended for Health Services.
This form is for students under age 21 to provide informed declination of required Meningococcal vaccine (this is not recommended).
This form is for requesting an exemption from the vaccination requirements for religious reasons.