Forms & Policies
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General Forms
- ADD/ADHD Patient Authorization for Disclosure of Health Information Form
- Financial Responsibility Form
- Minor Consent Form for Parents/Guardians of Patients under age 18
- MSU HealthTeam (and Olin) Notice of Privacy Practices
- Patient Authorization for Disclosure of Health Information
- Telehealth Consent Form
Alcohol, Tobacco, and Other Drugs Education
Allergy & Immunization
- Allergy History Information Sheet
- Injectable Medications Questionnaire Form
- MSU Immunization Policy for students (includes a link to the mandatory Immunization Self-Report Form for the office of the University Physician.)
HIV Testing and Counseling
- HIV Knowledge Assessment Quiz [Pre-test Form]
- HIV Testing Brochure (for more information)
Psychiatry
MSU Employees
- Labor and Student Payroll Form
- Labor and Student Payroll Form plus Time Conversion Chart
- Overtime/Comp Time Approval Form (for Supervisor)
- Overtime/Comp Time Payroll Form
- Overtime/Comp Time Payroll Form plus Time Conversion Chart
- Payroll Record CTs 2017
Workers Comp
- Authorization to Invoice MSU
- Authorization to Invoice MSU - Employees not in the Lansing Area
- Report of Claimed Occupational Injury or Illness