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Forms

This page contains many of the documents and forms required to release information, request immunization records, return from medical leave of absence, and so forth.

Release of Information Form

An authorization to release medical or mental health records.

Birth Control Order Form

Order Form to request refills of birth control pills.

Immunization Record Request Form

To request immunization records be released to a 3rd party or to the student after graduation. Student health records are retained for 8 years after graduation.

Conscientious or Religious Exemption Form

For use if unable to meet required immunizations due to conscientious or religious belief.

Mental Health - Medical Leave of Absence Return Questions 

A form used for an off-campus therapist to provide information regarding a student's ability to return to Carleton from a Medical Leave of Absence.

Physical Health-Medical Leave of Absence Return Questions

A form used for an off-campus medical provider to relay information regarding a student's ability to return to Carleton from a Medical Leave of Absence.