JMU Current Student Gateway e-campus University Health Center Appointments Be the 1 Campaign Community Coalition on Alcohol Abuse Eating Disorders Current Health Issues Emergencies FAQs Forms Health Information    - Copies of your Health Information    - Emergency Contact Information    - Health Record    - Notice of "Deemed Consent" Immunization Requirements Payments and Fees REACH Peer Educators SafeRides SHAC Services Special Housing Requests Staff Student Insurance Universal Precautions Women's Health Clinic Office of Health Promotion Office of Sexual Assault Prevention Women's Resource Center

Health Information Staff Health Information Manager Phyllis Anderson Phone: 540.568.6178 (select option 2) Health Information Technician Karen Kennedy Phone: 540.568.6249 Health Information Clerk Charlotte Huffman Phone: 540.568.3964 Health Information Clerk Dianne Nibblins Phone: 540.568.4062 Fax: 540.568.6176 Phone: 540.568.6178 (select option 2) Mailing address: JMU Health Center ATTN: Health Information MSC 7901 Harrisonburg, VA 22807 & Other Information Emergency Contact Information Student Insurance Attention Seniors FORMS *Five Year Health Update (.pdf format) *Health Record 2008-2009 (.pdf format) *Hepatitis B Vaccine Waiver (.pdf format *Health Information Release (.pdf format) *Meningococcal Waiver (.pdf format) *Religious Exemption (.pdf format) *Special Housing Request Form (.pdf format) Special Housing Request Form (Microsoft Word Format) NOTE: An asterisk before a link indicates an Adobe file in the .pdf format. The Adobe Acrobat Reader is available for free download by clicking on the link below: Get Acrobat Reader The Hepatitis B Vaccine series is a series of three vaccines. If you have started the vaccine injections and are waiting to complete the series, again please sign the Hepatitis B waiver that is on page 3 of the student health record, submit your health record and send verification of the series when you have received the injections. 2008 Emergency Contact Information (log into e-campus) due date: July 24th, 2008 for Fall semester incoming students. PRIOR TO YOUR ENROLLMENT AT JMU THE UNIVERSITY HEALTH CENTER REQUIRES THAT A COMPLETED HEALTH RECORD FORM IS ON FILE. 2008 Health Record due dates: January 31st, 2008 for Spring Semester incoming students. June 2nd, 2008 for Fall Semester incoming students. DO NOT FAX THE COMPLETED HEALTH RECORD FORM. MAIL your completed form to UHC at: James Madison University Health Center ATTN: Health Information MSC 7901 Harrisonburg, VA 22807 If you have any questions regarding this form, please call UHC Health Information at 540.568.6178 (select option 2) or contact Health Information by email at healthrecord@jmu.edu Confidentiality Statement: Your Health Information is kept confidential at all times and is not associated with your academic record. Health Information will not be released without written consent by the student. Health Information retained for a period of 10 years following graduation or your last year of enrollment. Mississippi DSL PUBLISHER: Health Center, MSC 7901, Harrisonburg, VA 22807 - PHONE: (540) 568-6178 - FAX: (540) 568-7803 FOR INFORMATION CONTACT: Web Administrator - Privacy Statement Last Modified: 4/25/2008