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Minnesota State University, Mankato

Minnesota State University, Mankato
Student Health Services

Forms

Page address: http://www.mnsu.edu/shs/forms.html

Medical Records Release Form

This form is used to transfer medical records to or from another clinic or individual.

 

Minor Consent for Treatment

 

[PDF] Patient Health History Form / Payment Authorization Form (162 KiB)

Please complete this form prior to coming to your first appointment at Student Health Services.

 

The Immunization Record Required for Admission: [e-form*must have java] [[PDF] pdf (56 KiB)]. 

This form is required if you graduated high school from outside the state of Minnesota or before 1997. You should have received information and a link to this form in your admitted student letter. You may submit the form electronically or send to Student Health Services, 21 Carkoski Commons, Mankato, MN 56001; fax (507) 389-5787; email healthservices@mnsu.edu. This information is required before you can register for the following semester at Minnesota State Mankato.

 

[PDF] Sample Health Care Directive Form (821 KiB)

Questions and Answers about Health Care Directives from the Minnesota Department of Health