Student Health Service - Forms
Immunizations
- Measles, Mumps & Rubella Immunization Documentation
- Tuberculosis Screening Documentation
- Meningitis Immunization Form
- Certification of Religious Exception to the North Dakota State Board of Higher Education
Privacy
- Authorization and Request for Release of Medical Information
(There may be a charge to have records copied.) - Consent to Treat a Minor Child (Parent/Guardian Authorization)
Insurance
- Enrollment Brochure & Application Forms: StudentBlueND.com
Clinic Locations & Maps
We encourage people to contact us by phone or in person regarding personal health problems or appointments at the Student Health Service, rather than via email. The nature of email is such that we cannot guarantee the confidentiality of your correspondence. Moreover, we cannot guarantee that we will read your email right away or respond in a timely fashion. For specific questions regarding your health, prescriptions or appointments, please call 701-231-7331 or visit us at the NDSU Student Health Service in the Wellness Center.
