Forms
Medical Records
- Authorization for Release of Health Information (PDF 676 KB)
- Authorization for Release of Counseling Information (PDF 1.5 MB)
- Authorization for Release of Medical Information and Confidential HIV-Related Information (PDF 1.8 MB)
- Authorization for Treatment of a Minor (PDF 86.3 KB)
Immunization Records
Review the Health Requirements page for links to the appropriate forms.
Student Health Insurance
Insurance Enrollment/Waiver (NYU-sponsored Student Health Insurance Enrollment/Waiver is an online process)
Financial Responsibility
- Fees for Services Form (PDF 125 KB)
- Application for Financial Assistance
Available for Full-time Graduate and Professional students only.