Also, please do not send forms or consents to the health center by email or hard copy- please fill them out on the site or upload or fax them, please. We cannot complete the requirements for you.
Vital Health Record - a form filled out online
Medical Consent - electronically signed
HIPPA Patient Privacy for Bedard Pharmacy - electronically signed
Over the Counter Medication Form - a form filled out online
Supplement consent - a form you download, fill out, and upload if you wish your student to take a supplement
Influenza Vaccine Permission - electronically signed
Consent for a COVID 19 vaccine- electronically signed
COVID-19 Consent for testing - electronically signed
Pool testing consent -
Screening for Tuberculosis Testing - online form- please read the guidelines for testing carefully
Proof of insurance - upload an insurance card front and back and the form attached
International Student Injury and Sickness Plan - purchase student insurance for all international students
ImPact permission form- electronically signed
Departure Plan- download, fill out, upload
ISS required forms- if you wish to use our local guardian as your departure plan
Student Health Survey - download, your student completes it and upload
Social/Emotional Health - download, complete, and upload
PLEASE do not upload photos- they do not come out clear and they are often not accepted as a legal document. Only upload forms as a PDF.
If you haven't already, please be sure to schedule your student's annual health assessment (physical) All students must have a completed assessment prior to arrival in August. If you have questions, please contact, Deb Traub.