- Authorization to Release or Request Medical Records
- 2022-2023 Health Insurance Enrollment Form (to be used to enroll part-time students and dependents)
- Instructions for Patients Undergoing Spirometry (Asthma Testing)
- Spring 2022 Late Insurance Fee Petition Form
- Fall 2022 Late Insurance Fee Petition Form
New Student Forms
- Student and Emergency Contact Form
- Physical Exam Form
- Immunization Record
- TB Screening Form
- TB Risk Assessment Form
- Consent for Treatment of a Minor
- To Your Health Booklet
- Online Health Behavior Survey
Privacy Notice
URI Health Services’ Notice of Privacy Practices describes how medical information about you may be used and disclosed, and how you can get access to this information. The form is made necessary by the federal Health Insurance Portability and Accountable Act (HIPAA).