Medical Records Request

How to Request Medical Records

  1. Contact Student Health Services to be sure we have your completed medical records on file.
  2. Download, print, and complete the Authorization of Medical Records Release form. (Medical Records will not be released to anyone without written permission from the student.)
  3. Mail the form along with a $5.00 money order to our office:

Student Health Services
Metropolitan Campus
1000 River Road, T-SU2-03
Teaneck, New Jersey 07666

*There is a $5.00 charge for processing Medical Transcripts. This payment will only be accepted in the form of a money order. Please make money order payable to FDU Student Health Services Metro and include your full name and FDU Student ID number.

Please allow 5 business days after we receive your request to process your Medical Transcript.


Medical records are strictly confidential and are not part of the academic records. Medical records are used exclusively by Student Health Services Metro to provide personalized care. Any information on these records or concerning a visit to Student Health Services Metro will not be released without written permission from the individual treated. Immunization records are an exception and are not confidential since your immunization status must be made available to New Jersey State Inspectors and select University offices in order to comply with New Jersey State Law.