Below are the forms for immunizations as well as health consent forms.
Consent for Health Care Services (In-Person and Telehealth):
*These forms only need to be filled out once.*
The following can be downloaded and printed for your use.
Required Forms for Incoming Students:Immunization History Form (2020-21 Academic Year)
- Authorization for Release of Confidential Information
- Community Provider Report
- Minor Consent for In-Person and Telehealth
- Adult Consent for In-Person and Telehealth
- Wellness Center Patient Confidentiality Agreement
- Advocacy Consent to Disclose (Release of Information Regarding Advocacy Services)
- Allergy Injection Consent Form
- Consent to Record