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Student Health and Counseling

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Forms

If you have any questions about any of these forms, please call Health Services at 585-245-5736 or Counseling Services at 585-245-5716.

Immunization Checklist 

Immunization Form 

Consent for Treatment of a Minor 

Religious Exemption 

Wegmans Prescription Delivery 

Health Care Proxy/Advanced Directives

Physical Form 

Meningococcal Waiver

Authorization Request/Release Information  

Parental Consent Counseling 

Minors Consent Counseling 

Counselor Change Request 

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