Student LifeStudent Health Center
- Forms
- Area Medical Facilities
- Registration Holds
- HIPAA
- Health Center Staff
- Services
- Medications
- Medical Emergencies
- Confidentiality
- Absence due to illness
- Health Insurance
Forms
Here you may download the necessary health forms as .pdf files. You will need the Acrobat Reader to read these files. Download Adobe AcrobatChoose your form from the list:
- General Information and Requirements
- Health History
- Physical Examination
- Immunization Record
- School of Human Services (SHS) Immunization Record
- Tuberculosis Screening
- Emergency Contacts
- Meningitis Waiver
- Meningitis Fact Sheet
- Authorization to Release Medical Information
Cardio Screening Form
Football Warning: Helmet, Equipment, and Technique
Athletic Training Services Insurance Form
Pre-Participation Form
Health Center Hours
- Monday through Friday 8:00 AM - 5:00 PM during the fall and spring semesters
- Closed weekends and holidays.
- Please call 748-3175 to check for specific hours for Medical Clinic, Gynecology Clinic, and Orthopedic Clinic.
Contact Information
- Springfield College Health Center
- 263 Alden Street
- Springfield, MA 01109
- Telephone: (413) 748-3175
- Fax: (413) 748-3444
Springfield College 263 Alden Street, Springfield, MA 01109-3797 413.748.3000 | Employment at SC
Copyright © 2008-2009 Springfield College. All rights reserved worldwide.
Site design and production: Office of Marketing & Communications.
02/10/2010
Copyright © 2008-2009 Springfield College. All rights reserved worldwide.
Site design and production: Office of Marketing & Communications.
02/10/2010

