Medical Records Request

Forms

Get help using 'Forms'

  • Medical Records Request Form (For Current Students and Alumni)

    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
    Required
    Authorization for Release of Health Records Information Form.pdf
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.
While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.