You can download any of Canisius' Student Health Office forms in a .PDF format by choosing from one of the links below:
- Physical Examination & Immunization Form
- Authorization for Disclosure of Health Information
- Authorization for Medical Treatment of Minors (students under 18 years of age)
- Immunization Record for Graduate Students and Part-time Undergraduates
- Enrollment Form for Student Accident and Sickness Plan 2007-2008
- Emergency Contact Information
- HIPAA Notice Of Privacy Practices For Personal Health Information (from Allen J Flood Company)
- Request For Religious Exemption To Immunization Form -- PARENT
- Request For Religious Exemption To Immunization Form -- STUDENT
- Health Insurance Claim form, 2007-2008 Policy Number CUH201345
You may need to download the Adobe Acrobat Reader from the Adobe Web site if you wish to view the Canisius College campus map in Adobe format (.pdf).