1. Print, complete and return a Medical Record Release of Information Form.
2. Mail to Brown Health Services, Box 1928, 69 Brown Street, Providence, RI 02912 or fax to 401-863-7953 to the attention of Christine Farland or email to christine_farland@health.brown.edu.

Blanket Release Statement

• If you are an active student, you can log into Brown Health Services Patient Portal and print your immunization record. After logging in, select Immunization, View History and click on the printer icon.
• If you are not an active student, contact nursing@brown.edu or call 401-863-3953 to obtain a copy. We can mail, fax or email your immunization record to you.