Forms and Records
Forms and Records

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
- 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
Please see this page for new student forms.
New York State public health law and Barnard College policy require that all students complete several immunization requirements and submit documentation prior to their first term. Students whose immunization records are not compliant will not be able to access campus.