Medical Records Request

Note:  Medical records are kept for seven (7) years following graduation. 

Current students can always access their entire medical record on the Medicat Student Health portal;

$20 for full record and $10 for immunization or Pap documentation for alumni.

In accordance with HIPAA, students must request their records in writing.  Download the Records Release Form and email it to healthforms@wesleyan.edu.  Records will be released within 30 days of receipt of payment.  

Alternatively, you can fax completed records release forms to 860-685-2471.

You must complete the record release form and payment before your record request will be processed. 

E-Payment Accepted (checkout as Guest, do not try to login):

Note:  Medical records are kept for seven (7) years following graduation and we can not process refunds once payment is submitted.  Email us at healthforms@wesleyan.edu before paying if you have questions.

Entire Medical Record $20.00

Immunization or Lab Result Record: $10.00

Check/Cash Accepted.  Please make checks payable to Wesleyan University- Davison Health Center and mail to:

Davison Health Center at 327 High Street, Middletown, CT  06459