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Forms and Exemptions Immunization/Health Requirements Frequently Asked Questions Health Services Counseling Services Student Health Advisory Committee (SHAC) Crisis & Emergency Resources About Us Hours, Location & Parking Our Staff Privacy Policies

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Health & Counseling
Student Health and Counseling Forms

Student Health and Counseling 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.

COVID Medical Exemption Request
COVID Religious Exemption Request
COVID Fully Remote Form
Consent for Treatment of a Minor
Immunization Form
Meningococcal Waiver
Physical Form
Tuberculosis Screening

Counseling - Counselor Change Request (portal)
Counseling - Parental Consent for Minor
Counseling - Minors Consent for Treatment Waiver
Release of Information Authorization
Health Care Proxy/Advance Directives
Student-Athlete Forms
Wegmans Prescription Delivery

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