Forms and Applications

Administrative Forms

• Release of Information Form (pdf)
• Directions to complete Release of Information (pdf)

Application for Student Health Services

• Training opportunities in CAPS
• Training opportunities in Wellness and Health Promotion Services

Confidential Advocate Forms

• Confidential Advising Consent to Disclose Form (pdf)

Medical Forms

• SIU-SHS Vaccine Exemption Form (pdf)
• Departmental Payment Form (pdf)
• Medical Consent for Minors (pdf)
• Nutrition Questionnaire (pdf)
• STD Testing Form (pdf)

Optional On-Campus Health Benefit

• Optional On-Campus Health Benefit (pdf)

Wellness and Health Promotion Services

• Wellness Outreach Request
• Wellness Training Opportunities

If you cannot find a form or application that you are looking for, please email shcinfo@siu.edu.