CONSENT FOR TREATMENT OF MINOR WHO DOES NOT HAVE LEGAL POWER TO CONSENT

 

Forms

 

Document Name* Notes
CONSENT FOR TREATMENT OF MINOR WHO DOES NOT HAVE LEGAL POWER TO CONSENT Students under the age of 18 must have a Consent for Treatment Form signed by parent or legal guardian

Consent for Treatment Form

Consent for Minor

Students over the age of 18 can consent to own medical treatment
You must be living apart from your parents or guardian and be managing your own finances
Allergy Packet  
Authorization to Release Medical Record Form The Student Health Center maintains a patient's medical records for 10 years from the date of last visit. Medical records are destroyed after 10 years.
Bacterial Meningitis Vaccine Requirement Form To learn more, visit the Registrar's Vaccination Requirement page.
Patient Rights and Responsibilites  
TSpot Clinic Documents 2017  
Off-campus TB SCREENING FORM  

 

*Adobe Reader is required to view the documents.

.

photo of students on campus

Contact Us

Student Health Center
Student Services Building 4th floor
SSB 4.700
972-883-2747 (office)
972-883-2069 (fax)
[email protected]

Schedule an appointment »

Mailing Address
Student Health Center
The University of Texas at Dallas
800 W. Campbell Rd., SSB43
Richardson, TX 75080