Forms and Information
New/Incoming Student Forms
2011 forms are now available.
- Undergraduate Students
- School of Management Students
- School of Medicine, School of Nursing and PA Program Students
- Graduate & Professional Students
Health Information Services Forms
- Release of Health Information from Yale Health
- Request to Send Health Information to Yale Health
- Designation of a Personal Representative to Access Health Information
- Mental Health & Counseling Records Release
Other Forms
- Waiver submission (only available at the beginning of the fall and spring semesters)
- Supplemental Claim Form
- Pharmacy Claim Form
- ID Card Request Form
- Revoke Waiver
- Student Enrollment/Change Application (for dependents and Affiliate plan)
- Travel Form
- Comment Card
Brochures
- Inpatient Care Facility (ICF) Brochure
- Mental Health and Counseling for Students
- Student Guide to Yale Health
- The Common Cold
