DOWNLOADS
Patient Rights and Responsibilities & UHSM Notice of Privacy Practices (.pdf)
Release of Information Authorization Form
Request Form for Non-Students Seeking University Health Insurance (.pdf)
Student Health Advisory Council (SHAC) application form (Word doc.)
Religious Exemption Form for Immunizations (Word doc.)
Tuberculosis Symptom Screening Form (Word doc.)
Last Updated: 06.15.2011 |
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