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University Health Service
FORMS


For Students: 2008-2009 academic year

           General Medical Packet (includes the Health Form -PDF)

              Varsity Athlete Medical Packet (includes the Health Form -PDF)

              International Medical Packet (includes the Health Form - PDF)

              Part Time Immunization Verification Form and Guidelines(PDF)

Other Forms

           Authorization for Release of/or Obtain Medical Records

           Medical Exemption Form (PDF)

           Women’s Health Form (PDF)

   


1615 Stanley Street, New Britain, CT 06050  860.832.CCSU or toll free instate 1-888-733-2278


 
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Last Update: Monday January 09, 2006