Forms for Students, Staff, and Parents
Most forms on this page will require Adobe Reader in order to view.
General Forms
- Consent Form for Parents/Guardians of Patients under age 18
- Financial Responsibility Form
- MSU HealthTeam (and Olin) Notice of Privacy Practices
- Feedback Form
- Patient Authorization for Disclosure of Health Information
Alcohol, Tobacco, and Other Drugs Education
Allergy & Immunization
- Allergy History Information Sheet
- Injectable Medications Questionnaire Form
- MSU Immunization Policy for students
- Are You Immune Aware?
HIV Testing and Counseling
- HIV Knowledge Assessment Quiz [pre-test]
- HIV Testing Brochure (for more information)
Psychiatry
- Psychiatry Intake Form
- PHQ-9 (Chinese)
- Self-Care Plan (Chinese)
- Lucas Functional Assessment (Chinese)
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
