Medical Records & Forms

All incoming students are required to submit a medical record to Bucknell Student Health prior to arrival on campus.

Please note: Bucknell will also require students to submit documentation of receiving the full cycle of the COVID-19 vaccine by Aug. 1, 2021. Submit this documentation to

For questions about this requirement, please see the COVID-19 Vaccination FAQ.

Please call Student Health at 570-577-1401 with any questions you have concerning your medical record.


Due Dates: Medical forms should be submitted no later than:

  • June 15 for fall enrollment (COVID-19 vaccine documentation by Aug. 1)
  • Jan. 3 for spring enrollment
  • May 28 for summer enrollment

Release of Medical Records

Bucknell Student Health is required by government regulations to receive written permission from a student before sharing any medical information with other health providers (for reasons other than continuation of care). This written permission is also needed for any disclosure of information to a student’s parent/guardian. In order for Bucknell Student Health to release your medical information, you must provide a written request.

Please be aware that any information release that is not sent directly to another physician/medical facility for continuation of care cannot be faxed or emailed. It must be sent through regular mail or picked up by the patient. Authorization forms for release of information may be obtained below or at the Student Health office.

Current Students and Post-2013 Graduates

Current students and alumni who graduated after spring 2013 should use the following form to request copies or release of medical information.

  • Request for records related to treatment after spring 2013 should be submitted to Please complete the Geisinger release form.
  • Request for records related to treatment prior to spring 2013 should be submitted to the Dean of Students office. Please note paper charts are kept for 7 years, and then are destroyed.

Contact Details

Bucknell Student Health


Graham Building, enter from 7th Street


Monday – Friday: 8:30 a.m. – 4:30 p.m., Except Thursday
Thursday: 10:00 a.m. – 4:30 p.m.
Saturday - Sunday: 10:30 a.m. – 2:00 p.m., During regular semester