Forms, Documents and Reports
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Please note: Some of these forms are automatically mailed to students by the Registrar's office. If you complete one of these downloadable forms and mail it to the SHS, please be aware you may also receive the same form in the mail. Receiving the form in the mail in no way indicates a previously mailed form was not received. If you would like to ensure your form was received, you may call the SHS at 335-8370.
All Students
- Letter to all new students
- Medical History & Immunization form
- Women's Health History Form (for yearly exams)
- Psychiatric Medical History (for new patients only)
- Insurance form - Information we need to bill any SHS charges to your insurance.
- Release of Information form and Important Instructions - Required for Student Health to release your information.
- Consent to Obtain Information
- Class Excuse Policy and form
- Information Sheet for Patients - Includes helpful tips and phone numbers
Health Science Students
- Letter to all new Health Science students
- Medical History and Immunization form
- Pre-Entrance and Periodic Health Screening Consent form
- Hepatitis B Titre Protocol
- Health Evaluation form
International Students
- Letter to all new international students
- Medical History and Immunization form
- Immunization Record for international students
- Information in 29 languages: visit immunize.org
Health Care Rights
Exposure Reporting
Brochures
Reports and Data
- Annual Report
- Health Practices
- HIP Summary 2006
- BMI Data 2006
- Tobacco Summary 2006
- 2007 National College Health Assessment Summary
Page updated 6/19/08
