Student Forms
New Student Health Information Packet 2008-2009
Please note that this packet must be completed and returned to UMS prior to your arrival to campus. Note the required proof of measles immunization in section #3 of the student health form and the required meningitis and hepatitis b vaccination status form in section #8.
Request for copy of your medical information
You can request a copy of your entire medical record or just a certain part, such as your immunization records (most students just need this part of their record). There is a $5 charge for a copy of your entire record but no charge for copies of immunization records only.
Authorization for releasing protected health information
As a courtesy to you, UMS has provided this authorization form so that, in the event that you become ill or need assistance with your health care decisions, your permission may be given ahead of time to discuss your health care with persons you designate, such as parents, guardians, or personal representatives.
Meningococcal and hepatitis b vaccination status form
SPECIAL ALERT: If you are planning to stay in the residence halls, you must complete the "Meningococcal and hepatitis b vaccination status form". You are not required to have the vaccination but you must disclose your vaccination status.
