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Campus Health Information
Health Forms to be Completed Before Arrival at the School
Health Forms
GUIDE TO REQUIRED HEALTH FORMS
1. Domestic Student Insurance Information
2. Student Insurance Plan Request
3. Parental Authorization
4. Full Disclosure Policy
5. General Health Care Policies
6. Immunization Record
7. Health History
8D. Physical Examination - Domestic
8I. Physical Examination - International
9. Vision and Hearing Screenings
10. Dental Health Certificate
11. General Medication Policy
12. Prescription Medication Policy
13. Non-Prescription Medication Register
14. Physician Medication Register
15. Request for Influenza Vaccination
16. Patient Rights
DOWNLOAD ENTIRE FORMS PACKET
Vaccination Information
Influenza Vaccination
IPV Vaccine: What you need to know
MMR Vaccine: What you need to know
Tdap Vaccine: What you need to know
Varicella Vaccine: What you need to know
Hepatitis B Vaccine: What you need to know
Other Health Information
United Healthcare Insurance Guide
Asbestos Management Information
Meet the Staff of the Hamilton Family Foundation Student Health Center
Rosalind 'Roz' Burke
Health Center (MS)
School Nurse
603.523.3520
Linda Thomason
Health Center (MS)
603.523.3545
Patricia 'Pat' White
Health Center (MS)
603.523.3545
Contact Us
Telephone: 603.523.3520
Fax: 603.523.7620
Email:
Rosalind "Roz" Burke, RN