Forms

Requesting Immunization and Medical Records

For current students:

Complete the Authorization for Release of Information form and upload the form via the Patient Immunzation Portal. Make sure you select "Authorization for Release of Information" as an option in the dropdown menu. Please do not use the link below.

For past students:

Complete the Electronic Authorization for Release of Information form via this link: https://redcap.link/zz22zhsx

Research Clearance Forms

Request for Medical Evaluation for N-95 Respirator Use (Short Form)

Request for Medical Evaluation for Any Respirator Use (Long Form)

Clearance to work with lab animals