General MIT Health Forms and Documents
Health history forms
Medical record forms
- Authorization for Release of Protected Health Information (Medical Record) to MIT Health
- Authorization for Release of Protected Health Information
(Medical Record) by MIT Health - Authorization for Release of Protected Health Information
(Dental Record) by MIT Health - Request for Amendment of Protected Health Information
Patient privacy / advocacy / rights
Student health forms
- Student Medical Forms Information
- Varsity Student Athlete Physical Examination Form
- Student Vaccine Exemption Form
- Student Tuberculin Requirement Form
- Information about Meningococcal Disease, Meningococcal Vaccines, Vaccination Requirements and the Waiver for Students at Colleges and Residential Schools
Pediatric care forms
Wellness class registration
Class registration (Community Wellness at MIT Health)