Student Health Form
Required to be completed by all students prior to entering the University. This form includes emergency and insurance information, medical history, and an immunization record. Students can mail, fax, or email (using their JCU email addresses only) their completed forms. Students under the age of 18 at the time of form completion must have their parent or guardian complete the form.
Please save the form and open in Adobe Reader before typing information into the form.
Air Conditioning Unit Request Form
In order to request an air conditioning unit for your residence hall room, you MUST have a diagnosed medical condition and physician statement.
Authorization for Release of Confidential Information
In order to release or request any personal medical information, you must complete an authorization form.