HEALTH FORMS

Allergy Injections

Allergy-Info-and-Form

Allergist Referral Request Form

TCU & Required Forms

Meningitis Requirement

TCU Student Health Form  Every new student is required to turn in this form with a copy of immunizations that includes TWO doses of Measles, Mumps, and Rubella (MMR) to the Health Center in addition to the meningitis documentation.

INSURANCE FORMS

Summer 2017 Enrollment Form

Insurance Claim Form

Out-of-Network Claims 

Web ID Cards / Claim Forms

On-Call ID Card for International Travel (travel does NOT include your home country)

MEDICAL RECORD RELEASE FORMS

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.

PATIENT RIGHTS AND RESPONSIBILITIES

Patient Rights and Responsibilities