Authorization to Disclose / Obtain Medical Records
Medical records are kept on file for 7 years following the discharge of a student.
If a healthcare provider's signature is required to complete documents a $20.00 fee is required. Please mail your document(s), the Authorization to Disclose Medical Records, and $20.00 check made payable to "Haverford College Health Services" to:
370 Lancaster Ave.
Haverford, PA 19041
Required Physical Evaluation Form
All physicals for the 2022-2023 academic year must be completed after June 1, 2022.
Lab Eligibility Clearance Forms
Utilized to assess patients symptoms prior to an appointment. Upload form to your HaverHealth Portal within 24 hours of your scheduled appointment.