Online Forms

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Measles Forms

Measles Immunity Report Form
Measles Waiver Form
Summer MMR Waiver

Consent To Release Information

Release of Medical Records

(Complete form, print it, sign it, and send a picture of it to student.health@wwu.edu)

Consent To Obtain Information

Request for Medical Records

(Complete form, print it, sign it, and send a picture of it to student.health@wwu.edu)

Authorization to Treat Minors (under 18 years of Age)

Authorization to Treat Minors

Authorization to Manually Bill the Health Services Fee (when fee wasn't automatically billed to your WWU student account)

Summer Quarter 2020: Authorization to Bill Health Services Fee (Complete form, print, sign, send picture to student.health@wwu.edu)

Send Completed Records to:

WWU Student Health Center
516 High Street, MS 9132
Bellingham, WA 98225
Fax: 360.650.3883
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.