Transcript & Medical Request

Records (Transcript) Request

If you need to request copies of your academic transcript. The following will help walk you through that process. If you need to request copies of your past medical history with School of Nursing (for immunizations, etc) please click here.

1) Requests for academic transcripts must include all of the following:

  • Date of Request
  • Name
  • Student ID Number or Social Security Number
  • Current mailing address
  • Telephone number
  • Date of birth
  • Date of graduation or last attendance
  • Complete address of where transcript is to be mailed
  • Signature and Date
  • Processing Fee

2) Download Form

Download the Records (Transcript) Request Form in either Word or PDF format.

Please Note: because this is protected confidential information, the School WILL NOT FAX any part of your requested record information to a Third Party. All requested record (transcript) information must be sent to a specific person.

3) Additional Information

A $5.00 fee is charged per transcript copy sent to each mailing address.  Any additional pages of record’s material must be specified and shall be charged at $.35 per page.  Charges must be paid prior to documents being sent.  Make Checks payable to St. Elizabeth School of Nursing.

Students/graduates requesting a transcript to be mailed directly to them should identify if the transcript needs to be in a sealed envelope. Otherwise, the transcript would be official but stamped "Issued to Student."

No transcripts will be sent if the student/graduate has any financial obligations to the School of Nursing or its affiliated College. Under no circumstances will the School of Nursing fax transcripts.

4) Mail Records (Transcript) Requests to:

Registrar
St. Elizabeth School of Nursing
1501 Hartford Street
Lafayette, IN 47904

Transcripts are usually mailed the same day the written and signed Records (Transcript) Requests form is received, but allow at least three (3) business days in order to process the request.


 

Request for School of Nursing Medical (Health) Information

If you are requesting copies of health related information, such as your Immunization history, etc. The following will help walk you through that process.

1) Requests for School of Nursing medical health information must include the following:

  • Date of Request
  • Name
  • Student ID Number or Social Security Number
  • Current mailing address
  • Telephone number
  • Date of birth
  • Date of graduation or last attendance
  • Specific health information to be sent
  • Complete address of where transcript is to be mailed
  • Signature and Date

2) Download Form

Download a Request for Medical Information Form in either Word or PDF format.

Please Note: because this is protected confidential information, the School WILL NOT FAX any part of your requested record information to a Third Party.  All requested information must be sent to a specific person.

3) If you wish to mail the form, please mail it to:

Health Officer
St. Elizabeth School of Nursing
1501 Hartford Street
Lafayette, IN 47904

Health information records are usually mailed the same day the written and signed Request for Medical Information Form is received, however please allow at least three (3) business days in order to process the request.