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Medical Forms

Forms

Print form, fill out and return to Student Medical Services. - Student Medical Services Fax # (806) 651-3289.

Authorization for Release of Medical Information from Student Medical Services
Request for Release of Medical Information from an outisde provider
Health History Form
Parental Consent for Minors
Evidence of Vaccination Against Meningitis Form
Texas Department of State Health Services Affidavit Request for Exemption from Immunizations for Reasons of Conscience
Forms

In accordance with T.A.C. Rule §206.74, with few exceptions, state law gives you the right to request, receive, review and correct information about yourself collected by forms.

Updated 8/12/11