Student Health Service
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  • If you need a copy of your medical record a legal document needs to be filed. This form allows Student Health Service to provide to you, or the health care facility of your choice, the specified portion of your medical record. An original signature of the student is required on the returned form:
    AUTHORIZATION FOR RELEASE OF INFORMATION (Download Word Document)

  • Pre-matriculation immunization requirements for incoming students: Documents of Vaccines against Meningococcal Meningitis and 2 MMRs (Mumps Measles and Rubella) are to be submitted to Admissions and Records.
    IMMUNIZATION FORM (Download Word Document)

  • Allergy Consent Form for the students or allergist to submit for commencing receiving your allergy injections at SHS. ALLERGY CONSENT FORM (Download Word Document)

  • Programs conducted by the Health Education staff can be requested online by submitting:
    HEALTH EDUCATION PROGRAM REQUEST FORM

  • Submit the Student Health Advisory Board (SHAB) membership registration form online:
    SHAB REGISTRATION FORM

  • To report a Sexual Assault:
    WVU INCIDENT SURVEY FORM (Download Word Document)

  • For International Travelers to prepare for your visit:
    TRAVEL QUESTIONNAIRE (Download Word Document)

 

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Last Modified: October 25, 2007
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