Immunizations

• Immunization Documentation Form (optional - not required)
• Immunization Exemption Request Form

Insurance

• DO NOT File Insurance Form

Medical Records / Consent

• Authorization for Disclosure of Protected Health Information
  This form is used to provide verbal disclosure to a patient's protected health information to another individual, such as a parent and/or guardian. 
• Authorization to Release Medical Information
  This form is used for patients requesting their physical records be sent and/or shared with themselves, another individual or a facility. There may be a charge to have records copied. 
• Consent to Treat a Minor Child (Parent/Guardian Authorization)

Dietitian

• Dietitian Consultation - Meal Tracking Form

Advanced Directive

• Click here
• Another good resource would be your state's Department of Health website

Class Excuse Documentation

• A Class Excuse Letter was sent out to all faculty on 12/02/19 stating that Student Health Service will not provide letters for work or class to students who are ill. Please refer to NDSU's Policy Manual, specifically Section 333 - Class Attendance Policy and Procedure.