General MIT Health Forms and Documents
Health history forms
Medical record forms
- Authorization for Release of Protected Health Information TO MIT Health (Medical and Dental Records)
- Authorization for Release of Protected Health Information BY MIT Health (Medical and Dental Records)
- 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