Request for Health Records
These must be completed and signed prior to requesting a copy of your medical record for yourself or another provider or requesting health information from another provider to be sent to Mount Holyoke College. You can email your request to firstname.lastname@example.org or fax 413-538-2352.
- Release form from MHC Health to Other Provider
- Release form from Other Provider to MHC Health Center
- Travel forms must be submitted online 48 hours prior to scheduled visit for Travel advice and travel immunizations.