Student Health Forms & Policies

Client Informed Consent Form (PDF)

General Intake Form (PDF)

Bentley University Tuberculosis (TB) Medical Provider Form

Consent to Release Medical Information

Immunization Record (required for all full-time students; to be completed, signed and dated by your health care provider)

Meningococcal Vaccination Requirement Waiver

Request for Exemption from Immunization Requirements due to Medical Reasons

Request for Exemption from Immunization Requirements due to Religious Reasons

No Note Policy

Notes are not given by the Health Center as excuses for class absence. 

In ALL cases of class or work absence, students must communicate directly with their professor/employer to reach a mutually agreeable solution. This communication should take place as soon as possible and preferably prior to class or work absence.  

Patient Bill of Rights

See our statement regarding your rights and responsibilities as a patient.