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    • About
    • Facts
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    • Academics
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  2. Student Health and Counseling
  3. Health Forms for Students

Student Health and Counseling

  • Meet Our SHC Staff
  • Frequently Asked Questions
    • Student Health Fee
    • Forms for Students
    • Mission Statement
  • Health Crisis & Emergency
  • Health Services
  • Counseling Services
  • Addiction Counseling & Prevention Program
  • Health Promotion
  • Contact Us

Health Forms for Students

For questions about any of these forms, please call our office at 585-245-5736 (Health Services) or 585-245-5716 (Counseling Services).

Student Health and Counseling Department

  • Authorization for Release of Information
  • Wegmans Prescription Delivery 

Health Services

  • Consent for Medical Treatment of a Minor
  • Immunization Record
  • Meningococcal Waiver (sign into MyHealth and go to Medical Clearances)
  • MMR Medical Exemption Form
  • MMR Religious Exemption Form
  • Physical Evaluation
  • Tuberculosis Screening
  • Health Care Proxy/Advance Directives

Counseling Services

  • CS Parental Consent for Minor 
  • CS Minors Consent for Treatment Waiver 
Related Pages
Student Health and Counseling

Geneseo - The State University of New York
1 College Circle, Geneseo, NY, 14454
585-245-5000 | web@geneseo.edu

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