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

Insurance Forms

Please complete the following form if you need to change the Blue Cross Blue Shield Student Health Insurance Plan election you previously made in CyberBear: 

https://forms.office.com/r/1HBQAA35Vv

Class Excuse: Note for Brief Illness

Curry Health Center by policy does not provide class excuse for a brief illness that has resolved itself. Please do not schedule an appointment with a Provider for this purpose. Instead, please provide the following letter to your instructor: 

Note for Brief Illness