Health Services Forms
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Medical Report Form - Completed form must be returned to the Wellness Center prior to enrollment. This form is sent to accepted students. If you have misplaced your form or need to fill out a new one, download the form, print and complete it for sending. This form lists the immunizations required for registering for classes and living in campus housing.
Release of Medical Information Authorization Form - The Wellness Center will not release personal health information to any party without a student's written and witnessed release. When requesting copies or transfer of records from their medical file, students must be specific as to dates, types of information (i.e. entire record, lab reports, etc.) and receiving party(ies). Completed release forms may be mailed or faxed to the Wellness Center. Please call the department for clarification, if needed.
