Student forms

University Health Service has multiple forms available for your use below. Please select the most appropriate form for your need. If needed, each form provides instruction on how to return the form to us for appropriate processing of your request.

  1. Download and complete the Consent to Treat Minor form (PDF, 19 KB) 
  2. Download and read the Notice of Privacy Practices (PDF, 29 KB)
  3. Download and complete the Release of information form (PDF, 372 KB)
  4. Download and read the Student Records Upload Instructions (PDF, 158 KB)
Page last updated: 8/1/2017 4:14:36 PM