Allergy Extraction Letter and Administration Form - Required for the administration of allergy serum injections at the UHC.
Fine Appeal Form - For students who want to appeal a fine placed by the UHC on their account.
First Aid Kit Loan Request - The UHC has first aid kits to loan JMU student groups for travel. The designated JMU Faculty/Staff advisor for the group may request kits with this form.
Grievance Policy and Form - For students who would like to formally make a complaint or grievance regarding their dissatisfaction with the UHC.
Hepatitis B and Meningitis Immunization Waiver - Needed for any student who would like to waive these vaccines.
Immunization Form - State required, must be signed by healthcare provider, dates entered into MyJMUHealth, and returned to UHC at address on form. Non-compliance will result in $50 fine and academic hold.
- July 5, 2017 for a fall 2017 semester start
- Date to be determined for spring 2018 start
Medication/Order Authorization - For students who are prescribed an injectable medication that needs to be administered in our Nurse Clinic. Example of an injectable medication: Vitamin B-12.
Religious Exemption Form - For students exempting immunizations due to religious reasons.
Safer Sex Supplies Request - For students who want to request bulk safer sex supplies for an educational program.