Medical Records

To request a copy of your immunization or medical record, please complete the Authorization to Release Medical Records Form.

• We cannot accept forms from other offices.
• We keep records for 10 years after your graduation date.

You can mail, fax or drop the form off at the PCHS.

• We cannot accept or send any medical information via email.

Please note processing times can take up to 1 month depending on the amount of records requested.

Current students may receive a copy of their medical records at no charge. There is a charge of seventy five cents per page for non-current students.

Forms

• Authorization to Release Medical Records
• Flu Vaccine Exemption Form 
• Health Care Proxy Form
• Insurance Claim Form--Medical/Prescription (Aetna Student Health Insurance)

Mail to:

Aetna Student Health
Claims Department
P.O. Box 981106
El Paso TX, 79998

Forms to Complete Prior to Arrival:

• MMR and Other Immunization Form (PDF): Proof of immunization to Measles-Mumps-Rubella (MMR) and other non-required vaccines.
• Meningococcal Meningitis Vaccination Response Form (PDF): All students are required to complete and select whether or not they have been vaccinated, will become vaccinated or are declining vaccination and that they understand the risks of not being vaccinated
• Tuberculosis Screening Form (PDF)*: Required for all students. 
• *Tuberculosis Testing Form (PDF): - Only required for students who screen positive may need a test for Tuberculosis and/or a chest x-ray (read the Tuberculosis Risk Form carefully to see what you need).

For more information, including our step-by-step guide, see here.