Online Forms

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ADHD Forms

Parent Evaluation of Student
Patient Self Evaluation
Psychostimulant Medication Contract
ASRS Symptom Checklist
Request for Medical Records

Authorization to Treat Minors

Authorization to treat minors (under 18 years of age) can be filled out by parents and sent to the Student Health Center.

Authorization to Treat Minors

Fax completed form to: 
     WWU Student Health Center, 360.650.3883 
Mail completed form to: 
     WWU Student Health Center 
     516 High Street MS9132
     Bellingham, WA 98225
Scan and e-mail completed form to:

Please note this email address is neither encrypted nor secure.  There is a potential risk your information could be accessed or viewed by unintended eyes.  If you are concerned about your Personal Health Information fax the information to us instead.

HIPAA Compliance

Notice of Privacy Practices

Measles Forms

PDF icon Measles Immunity Report Form
PDF icon Measles Waiver Form
PDF icon Summer MMR Waiver

Medical Records Release Forms

Release of Medical Records
Request for Medical Records