For your convenience, our more commonly used forms are available on-line. You may submit some of the forms electronically, while others must be printed out, completed in ink, and sent by "snail" mail.

Please click on the topic that interests you for further instructions.

Note: Several of these forms are PDF documents and require Adobe^® Acrobat^® Reader^®. Click the link for a free download.

	Comment Form - Let us know what you think about our services!
	Disclosure of Health Care Information Form - Permission to share your medical information
	EMS Course Registration Form - Sign-up for an emergency medical services course
	Health History and Immunization Form - Required for every new student!
	Men's Preventive Health Exam Form
	Nutrition Clinic History Form
	Patient Registration for Travel Form
	Pharmacy Re-fill Forms for MPDP Members
	Pharmacy Re-fill Forms for Students
	Sports Pre-Participation History Form (University Park campus only)
	Sports Pre-Participation History/Physical Examination Form (other Penn State campuses only)

Student Organizations

	Smoke-free Campaign