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Forms & Resources

Allergy Packet

Authorization to Release Healthcare Information 

You will be redirected to a DocuSign document. Fill out the form and sign electronically. Retain a copy for your records. We will receive your completed form once it has been submitted. 

Health History

Link will redirect you to the Patient Health Portal.

High Risk Countries for TB

See if you are required to have a TB skin test or TB blood test for entry to the university.

Immunization Form

Insurance/Immunization Requirements Flyer 

Interpersonal Violence (IPV) Guide

If you or someone you know has been affected by Interpersonal Violence, such as sexual assault or relationship violence, help is available.

Notice of Privacy Practices (NPP)

Patient Financial Responsibility Form

A Patient Financial Responsibility Form is a required form for all Student Health patients. Click here to access this form under the Required Forms section on the My Niner Health Portal.

Patients Rights and Responsibilities

Self-Care Resources

Manage many illnesses and injuries safely and effectively from home. 

Urgent Care/Emergency Care Off-Campus