Barnard: The Liberal Arts College for Women in New York City

Primary Care
Health Service

Forms

List of forms linked to their pdf's.

Authorization to Release Medical Records

Insurance Claim Form--Medical/Prescription (Aetna)
Mail to: Aetna Student Health
            Claims Department
            P.O. Box 15708
            Boston, MA 02215-0014

Optional Supplemental Expense Benefit Plan
 

Old Claim Form (UnitedHealthcare)