FORMS

MEDICAL HEALTH HISTORY

We encourage you to complete this medical health history form [PDF] and bring it with you for your first appointment at the Student Health Center

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RECORD RELEASE

You may want to share your medical records with your care provider to help keep careful track of your health and well-being. Learn how to obtain your medical records.

If you need a record of immunizations you received from a provider at Student Health and Well-Being, complete this authorization for the disclosure of protected health information from MU Health Care

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REPRODUCTIVE HEALTH PROFILE

If you would like to talk discuss sexual health services and you were assigned female at birth, please complete this reproductive health profile [PDF] and bring it with you to your appointment.

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FERPA RELEASE

To authorize the Student Health Center to release the immunization information originally submitted for the purposes of compliance with university immunization policies, complete this FERPA form.

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