JMU - Forms
We respect your right to privacy and confidentiality.
No information will be released without your written consent.
Click above to access the resource guide.
Forms
Vaccine Wavier Forms
- Hepatitis and Meningitis (Microsoft Word)
Forms Relating to Health Record
- Five Year Health Update (PDF)
- 20112 - 2013 Health Record Form(PDF)
- Health Record copy receipt(PDF)
- Health Information Release(Microsoft Word)
- Health Information Release (PDF)
- Religious Exemption (Microsoft Word)
Other Forms
- Special Housing Request Form(Microsoft Word )
- R.E.A.C.H. Peer Program Request (PDF)
- University Health Center Clinic Volunteer Program Application (Microsoft Word)
