Forms
Below are the forms for immunizations as well as health consent forms.
Consent for Health Care Services (In-Person and Telehealth)
Fill out form online.
*These forms only need to be filled out once.*
Required Forms for Incoming Students
Other forms
- 2024.Authorization to Release Protected Health Information
- Wellness Center Optional Enrollment Form
- Community Provider Report
- Wellness Center Consent Form- Health Services (In Person and Telehealth) -Adult
- Wellness Center Consent Form- Health Services (In Person and Telehealth) -Minor
- Wellness Center Patient Confidentiality Agreement
- 2024.Vaccine Medical Exemption Request
- Advocacy Consent to Disclose (Release of Information Regarding Advocacy Services)
- Allergy Injection Consent Form
- Consent to Record