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

New Patients
Welcome to Yale Health! Your care as a Yale Health member begins with your primary care provider (PCP) at Yale Health in Internal Medicine, Obstetrics and Gynecology, or Pediatrics.
Students
Welcome to Yale Health! Please review these forms and guides for information about your health services requirements and deadlines for submission.
Forms
Claims
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.