SUNY Brockport: Expect the Extraordinary!
Student Life & Services

Health Center

Health Center Forms

Medical Evaluation Form

Consent for Release of Information (This form is used to obtain medical records from any medical office or release medical records from our Health Center)

NOTE: The Permission to Share Medical Information form must be filled out and signed by the student in the Health Center. This form is used to allow authorized individuals to discuss specified student's medical information.

Meningitis Response Form

Meningitis Information Sheet

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The College at Brockport * 350 New Campus Drive * Brockport, NY 14420