Print form, fill out and return to Student Medical Services. - Student Medical Services Fax # (806) 651-3289 or e-mail to medical@wtamu.edu. Computer generated signatures will not be accepted.
- Authorization for Release of Medical Information from Student Medical Services
- Request for Release of Medical Information from an outside provider
- Health History Form - Link to Online Healthy Buffs
- Parental Consent for Minors
- Meningitis Vaccine Forms, including documentation waivers or exemptions, www.wtamu.edu/meningitis
- Please upload all Meningitis Documentation forms, waivers or exemptions to the Buff Portal. Fax Admissions: 806-651-5285.
- If you would like to e-mail a PDF copy of health insurance card to medical@wtamu.edu or fax 806-488-3064. Please be sure that the copy of the insurance card is legible and includes the name of the student and the student's Buffalo Gold Card number. Please include the front and the back of the card.
Forms In accordance with T.A.C. Rule §206.74, with few exceptions, state law gives you the right to request, receive, review and correct information about yourself collected by forms.
Updated June 2, 2021