Bucknell Student Health is required by government regulations to receive written permission from a student before discussing any medical information with a parent/guardian. Permission forms may be obtained at the Student Health office.

Please read our Notice of Privacy Practices.

For Parents of Entering First-Year (full-time) Students

  • Completion of a medical record is a requirement for admission.
  • If a medical record from your packet is misplaced, click to download a Medical Record Form (pdf). Form Instructions are also available.
  • Do NOT send incomplete medical record if deadline cannot be met.
  • Permission for receipt of late medical record is not necessary if it will be received at Student Health within 1 month of the deadline.
  • Do NOT attach immunization record to the medical record; the dates must be recorded on the medical record form.

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