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Forms

Here you may download the necessary health forms as .pdf files. You will need the Acrobat Reader to read these files. Download Adobe Acrobat

Choose your form from the list:

Meningococcal Info Waiver

General Information and Requirement

Health History

Full-time and International Student Immunization Record

Immunization Record Part Time Health Science Student

School of Human Services (SHS) Student Immunization Record

Physical Examination

Tuberculosis Screening

Emergency Contact Form

Part-time Health Science Student Immunization Record

Authorization to Release Medical Information

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As a convenience to students, Athletic Training forms are available for downloading.Please submit Athletic Training forms directly to your head coach,not to the Health Center or the Athletic Training Department.

Cardio Screening Form

Football Warning: Helmet, Equipment, and Technique

Athletic Training Services Insurance Form

Pre-Participation Form

Health Center Hours

• Monday through Friday 8:00 AM - 5:00 PM during the fall and spring semesters
• Closed weekends and holidays.
• Please call 748-3175 to check for specific hours for Medical Clinic, Gynecology Clinic, and Orthopedic Clinic.