Release of Information

Records are only retained for 10 years post-care or graduation.

Release of Information

Please fill out a Release of Information if you would like to:

  1. Authorize Dartmouth College Health Service to Release Records (A $15 fee will be accessed for copies of an entire medical record)
  2. Authorize Dartmouth College Health Serviec to Request Records from another provider
  3. Authorize Dartmouth College Health Service to discuss medical treatment with a third party

 

 

Immunization Records Only

No Fee

Requests generated from non-Dartmouth issued email addresses may require photo ID

  • If you are a current Dartmouth student you can access and print your immunization record through your Banner page under the 'Health Center Online' link, or you can stop by the Reception Window at Dick's House to request a signed copy.
     
  • If you are a former Dartmouth student you must submit a completed Release of Information in order for us to release your immunization record. Upon receipt of your authorization your immunization record can be emailed, mailed or faxed to the designee on the authorization.

Entire Medical Record (or portion of)

Cost: A $15 fee will be accessed for copies of an entire medical record

  • If you are not on campus payment can be made in the form of a check made payable to 'Dartmouth College Health Services', or credit card over the phone with the Customer Service Representative.
  • If you are on campus we accept cash, check or credit card payments at the Reception Window at Dick's House. Current students also have the option of charging the processing fee to their Student Account.
  • Requests for medical records will not be processed until both the authorization and payment have been received.

To obtain a partial or full copy of your medical record we must receive a completed Release of Information .

Processing time is 7 - 30 business days. If your request is urgent email your request to Medical Records with urgent in your subject line.

Medical records are available in the form of disc, USB, emailed PDF or paper.  

Location & Contact Information

Mailing Address:

Dartmouth College Health Services
Attn: Medical Records
7 Rope Ferry Road
Hanover, NH 03755

Phone: 603.646.9400   

Fax: 603.646.9410

Email: [email protected]