Forms are accessible on the Patient Portal 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
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聽
- 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
- Religious Exemption Protocol Form etc.
- Student Insurance
- Undocumented Students 鈥� Resources for DACA and non-DACA recipients and their allies