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Health History Form

AUD Health Center requires that all AUD students submit the Student Health History Form to the Health Center. This Form must be endorsed and stamped by a physician.

Deadline for submitting the Student Health History Form is the last day of the Fall Semester (Drop/Add, see AUD Academic Calendar under Student Resources).

All health information is confidential. All students’ medical records are kept under a locked filing system; they are not released to others without the written consent (Authorization of Health Information Release) of the student or his/her parents/guardians (for students below 18).


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