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Health Services

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Forms & Resources

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  1. Home
  2. Health Services
  3. Forms & Resources

Forms are accessible on the  upon scheduling your appointment with Health Services:

  • Gardasil/HPV vaccine consent form (pdf)
  • Hepatitis A Vaccine Administration Record (pdf)
  • Hepatitis B Vaccine Administration Record (pdf)
  • Influenza Vaccination Consent & Administration Form 2021 2022 and Vaccine Information Sheet
  •  OR 

Consent Forms

  • Authorization for Release and Disclosure
  • Health Services Authorization and Consent for Treatment for Minors (pdf)

Gynecology Forms

Student Teacher Form

  • Student Teacher Physical Exam Form (pdf)

COVID-19

  • UIS COVID-19 Vaccination Exemption Process
  • UIS COVID-19 Vaccination Religious Exemption Request Form
  • UIS COVID-19 Vaccination Medical Exemption Request Form

Other Resources

  • Counseling Center
  • Graduate Assistant Time Sheet Form 
  • Health Care and Emergency Health Care Facilities in Springfield
  • Exercise is Medicine on Campus
  • UIS HS Student Affairs Immunization Policy 20-21
  • Office of Disability Services
  • .
  • Student Insurance
  • Undocumented Students – Resources for DACA and non-DACA recipients and their allies

Contact Us Forms & Resources
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