Forms
Health History Forms
In compliance with state law, the University of Richmond requires all entering full-time students to provide documentation relative to their health and immunizations.
Health History Record - Undergrad/Transfer students
Health History Record - Exchange Students
Health History Record - Law and Grad Students
Frequently Asked Questions about Health History Record
(Learn some tips for finding old immunization records.)
Authorization for Release of Medical Information
Before releasing your medical information to any third party, we must have a completed Authorization for Release of Medical Information. For more information about this form, see Medical Records and Patient Confidentiality.
Medical Withdrawal from the University
Students withdrawing from the University of Richmond must first notify their home school or residential dean. Learn more about this process at Medical Withdrawal Information.
(Print all 5 documents)Medical Withdrawal Treatment Summary
Medical Withdrawal Personal Statement
