Forms
The following forms are processed through Counseling and Health Services:
- Consent for Release of Information
- Department-specific Immunization Requirements
- Departmental-Required Drug Screening
- Immunization Documentation
- Electronic Records - Privacy Notice
- Off-site Biometric Screening Form
- Periodic Animal Contact Health Assessment
- CHS Notice of Privacy Practices
- VaxCare Flu Shot Form
- Authorization for Release of Compliance Information
Class Excuse Policy
Within the guidelines of the MSU UAR 131.05 Excused Absence policy, the clinic will provide the students with written confirmation of treatment on a specific day.
Please note, it is a statement that the student was seen at the clinic on a specific date, and it is not an excuse slip according to the guidelines of the policy. These statements will be branded with the Counseling & Health Services embosser to prevent fraudulent documentation.
The granting of an excused absence or any make-up work will be solely at the professor's discretion.
Contact Us
Counseling & Health Services
112 Allie Young Hall
Morehead, KY 40351
EMAIL: counselingandhealthservices@moreheadstate.edu
PHONE: 606-783-2055
FAX: 606-783-9106