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Forms and Guidelines

Required Health Forms for New Students

New students have important tasks to complete before arriving on campus. Get access to all the necessary forms for new students.

Provider examining patient's eyes


You will need your member ID number and the Yale Health RxBin# to submit your claim for reimbursement of outside pharmacy expenses online. 

Health Information Management

Representatives are available to answer questions regarding your release of information for members and authorized third party requesters. They can also assist with the completion of the Designation of Patient Spokesperson form, the Designation of Contact Information form and to answer any questions.