Medical Record Form

All graduate and continuing education students are required to submit a completed confidential health history form in its entirety plus a record of immunizations upon admission to the University. Any student who has had a break in matriculation of two or more semesters must resubmit the same.

Faxed copies of the medical record form are not acceptable.
Please make a copy of medical form for your records.

Download the Confidential Health History Form

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