Medical Records

To protect the privacy of your medical record, you must send the Health Center a written request with your signature if you want to have any information from your record, including your immunizations, sent to you or released to a third party. A request form can be downloaded and faxed or mailed to the Health Center. Please allow three business days to process your request. If only one or two pages of information are involved, the Health Center can fax the response. Please mail your request to the Simmons College Health Center, 94 Pilgrim Road, Boston, MA 02215 or fax it to us at (617) 521-3467.

If you cannot download the form, please write out your request and fax or mail it to us at the address below. Include the following information:

  • Your name
  • Other name on record, if different
  • Simmons ID #
  • Date of birth
  • Address
  • Telephone number where you can be reached
  • Dates Enrolled (i.e., 1988 -1992)
  • What information you want released (immunization results, all records, records for a specific visit or time period)
  • Where to send information


Please be sure to sign and date the request. Medical Records, including immunizations, are kept for 10 years.

Note that we will not release information regarding abortion, mental health, pregnancy, sexual assault or sexually transmitted disease without your specific authorization to release those records. Please check the appropriate boxes giving us the necessary permission on the downloaded form, or if you are writing a written request, please specifically mention those records if you want them released.

If you have any questions about transmission of records, please contact the Health Center at (617) 521-1002.