Division of Campus Life
Student Health Services

Request Health Records

You can request copies of your health and immunization records from Student Health and Wellness.

Health Record Request

Active students:

  1. Log into Student Health and Wellness Patient Portal
  2. Select 'Downloadable Forms'
  3. Download and complete the Student Health Records Request/Release Authorization Form
  4. Upload the signed and completed form
     

Nonactive or Graduated Students:

Student records are permanently deleted 7 years after graduation or separation from the University.  To obtain your record, please complete and return a Student Health Records Request/Release Authorization form via email, fax or mail as instructed below.

Email: christine_farland@health.brown.edu
Fax: 401-863-7953
Mail: Student Health Services, Brown University, Box 1928, 69 Brown Street, Providence, RI 02912

Immunization Record Request

Active students:

  1. Log into Student Health and Wellness Patient Portal to access your record
  2. Select 'Immunization History' from the side menu
  3. Click 'Print' in the top right corner of the immunization screen
     

Nonactive or Graduated Students:

Please email nursing@brown.edu or call 401-863-3953 to obtain a copy. Please include your full name and date of birth or banner ID in the email. We can mail, fax or email your immunization record to you.