Medical Records Request

Instructions for using the fillable PDF form below:

You must use Adobe Reader to fill out the form. It is free to download and pre-installed on all SLC computers.
You cannot use Apple Preview, your web browser's built in PDF reader, or any other PDF viewer.
You might have to right-click (Mac users: ctrl-click) and choose "Save as..." to prevent your web browser from automatically opening the form in another viewer.

Print and sign the form, then return by fax (914-395-2640), mail or hand delivery:

Sarah Lawrence College Health & Wellness
1 Mead Way,
Bronxville, NY 10708

Medical Records Request Form

(.pdf, 152K)

Download

Emergency: 911

National Suicide and Crisis Lifeline: 988

SLC Health & Wellness Center (M-F; 9am-5pm)

SLC Campus Safety Desk (24/7)

24 hour Mental Health Student Support TELUS (formally MySSP):

1-866-743-7732
texting through the TELUS app (formally MySSP) (free download from app store)

24 hour Hotlines:

National Suicide and Crisis Hotline: 988
National Mental Health Lifeline: 1-800-273-8255
NYC Well (24 hr Mental Health Support): 1-888-692-9355
Westchester Victim Assistance Services: 914-345-9111
Students with Wellfleet Student Health Insurance (purchased through the College)
- Nurse Hotline: 1-800-634-7629
- Behavioral/Mental Health Hotline: 1-888-857-5462
Students with other health insurance should check their insurance card for resources