Forms

Allergy Injections

• Allergy Injection Policies and Procedures
• Allergist Referral Request Form

Required by TCU

• 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

• Summer 2018 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.