Forms - Student Health Center — Danforth Campus

Email Authorization Form for Patient Communication

If you prefer to use email for personal health information, you can complete an authorization form.

Release of Information Form

The release of information form authorizes the Student Health Center to use and disclose protected health information.

Health History Form

All students must provide health history, immunizations and other information.

Parental Consent Form

For any student under the age of 18, we must obtain consent for medical treatment prior to any visit.