Active students:

1. Log into Student Health and Wellness Patient Portal 
2. Select 'Downloadable Forms'
3. Download and complete the Student Health Records Request/Release Authorization Form
4. Upload the signed and completed form

Nonactive or Graduated Students: 

Student records are permanently deleted 7 years after graduation or separation from the University.  To obtain your record, please complete and return a Student Health Records Request/Release Authorization form via email, fax or mail as instructed below.

Email: counseling@health.brown.edu 
Fax: (401) 863 - 3657
Mail: Counseling & Psychological Services, Brown University, Box 1960, 450 Brook St, Providence, RI 02912