Health Forms for Returning Students: 2012-13

Cover Letter for Returning Students 2012 -2013

Returning Student Medical Form 2012 - 2013

Insurance Information Form

Medication Policy Letter 2012 - 2013

Medication Form 2012 - 2013

Influenza Authorization Form 2012 - 2013

Pharmacy Berkshire Letter 2012 - 2013

Pharmacy Berkshire Form 2012 - 2013

Pharmacy HIPAA Form

Allergy Action Plan

Asthma Action Plan

Health Center Links

New Student Health Forms 2013-14

Returning Student Health Forms 2013-14

Off Campus Medical Visit Form
This form must be completed for all off campus medical appointments during the school year and be faxed to Student Health Service at (413) 229-1014 BEFORE your child returns to campus.

245 North Undermountain Road

Sheffield, MA 01257

413 229 8511

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