Student Health Forms
Student Health Documents
Health Assessment
Health/Nurse Forms
- Emergency Plan for the Student with Diabetes
- Authorization For Specialized Physical Health Care Service
- Emergency Plan for Students with Special Needs
- Emergency Care Plan for Students with Allergies
- Medication Authorization
- Medical Statement for Students with Unique Mealtime Needs
Student and Visitor Injury
- Medical Expense Certificate
- Coverage and Exclusions
- Supplement to Medical Expense Certificate
- No Fault Coverage for Medical Expenses
For questions related to Health Forms, contact Luanne Mack at 252-514-6300
For questions related to Insurance contact, Dr. Gregory Monroe, Director of Student Services at 252-514-6341