Forms & Applications | Student Health Services | SIU

Administrative Forms

• Release of Information Form
• Directions to complete Release of Information

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

Medical Forms

• SIU-SHS Vaccine Exemption Form
• Departmental Payment Form
• Medical Consent for Minors
• Explanation for Class Absence Illness/Injury Verification
• Nutrition Questionnaire
• STD Testing Form

Optional On-Campus Health Benefit

• Optional On-Campus Health Benefit

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.