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Belmont University | Belief in Something Greater

Forms

HIPAA Notice of Privacy

Student Consent for Treatment and Privacy Practices
Please print, read, sign, and upload this document into your Health Portal before your first appointment. This is a new requirement for all students beginning June 2019.

Employee Consent for Treatment and Privacy Practices
Please print, read, sign, and upload this document into your Health Portal before your first appointment. This is a new requirement for all employees beginning June 2019.

How can my student get his/her ADHD meds while at college?

Instructions to Begin Receiving Allergy Shots

Permission to Administer Allergy Medication

Release of Information from Belmont

Release of Information to Belmont