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.