Forms

Required for Registration

Immunization Requirement Form

Release of Information

This is not a mandatory form.  Just complete if you need one of the following:

  • You seek care at Curry Health Center and need previous health records sent to Curry Health Center.
  • You want Curry Health Center to send your health records to another location.

Authorization for Release of Health Information

Refuse Insurance Form-International Students

Please, print out and complete the Refuse Insurance Form-International (under forms), upload completed form with the accompanying official documentation that is required. Your documentation will be reviewed. If the requirements are met, the charge for the student insurance plan will be credited back to your student account. If more information is needed, you will be notified via your UM student email. Please, allow 2-3 business days for processing.

Refuse Insurance Form-International Students

Class Excuse: COVID-19

Please use the following form if your instructor requires an excuse from class and you are experiencing COVID-19 symptoms and must miss class:

COVID-19 Class Excuse