Medical Records Request

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

Requests are free for current students during the academic year; $20 for full record and $10 for immunization or Pap documentation for alumni at all times and current students over summer recess.

In accordance with HIPAA, students must request their records in writing.  Please download the Records Release Form and submit to the Health Center for processing.   Records will be released within 30 days of receipt of payment.  

Fax completed records release form to 860-685-2471 or healthforms@wesleyan.edu

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

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