Health Center Forms
Student Release of Information Form
A student's health information is confidential under federal law. If a student would like to release his or her health information to a medical facility, or request information from a medical facility, a release form must be signed by the student and a witness.
Student Release Form
If you will be traveling internationally and need immunizations or medication to prevent malaria, you may make an appointment with our travel nurse. We do not keep the immunizations or medication for malaria at the health center but will give you the prescription so that you can pick them up at a pharmacy. Please click
here to read more about Traveler's Health.
Pretravel Health Consult Form
Parent Release of Information Form
If a student would like his or her parent to be able to discuss their health information with health center staff, a release of information form must be signed by the student before any information is released to the parent.
Parent/Guardian Release Form