Thank you for submitting your Summer@Eastman Medical Authorization Form!

If you would like to upload supporting documents or letters of explanation, use Summer@Eastman’s secure online dropbox here (scroll to the bottom of the page to get to the dropbox). Documents may also be emailed to the Summer@Eastman office at: summer@esm.rochester.edu.

 Students who will be under age 18 as of June 26, 2023 attending in-person programs are also required to complete and submit the Permission / Code of Conduct / Extended Campus Form before classes begin. Click on the button below to access the form:

Questions about these forms? Contact the Summer@Eastman office.