Forms

Immunizations

• Meningitis Requirement

Insurance

• Summer 2019 Enrollment Form
• Insurance Claim Form
• Out-of-Network Claims
• On-Call ID Card for International Travel (travel does NOT include your home country)
• How to Read an EOB (Explanation of Benefits)

Administrative

• Patient Rights and Responsibilities
• Privacy Policy
• Complete Privacy Policy
• Medical Record Release of Information Form
  Request medical records from a private health care provider be released to the TCU Health Center or to release your TCU Health Center medical records to an outside licensed healthcare provider. This form may also be used to give TCU providers permission to speak to your family about your recent illness or injury.

Allergy Injections

• Allergy Injection Policies and Procedures
• Allergist Referral Request Form