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Moffet Hall, Ground Floor | Box 6899 | Phone (540) 831-5111 | Fax (540) 831-6638  |
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Student Health Record

The Health Record Form is comprised of two documents included in the file below.  All pages of the Health Record form must be returned to Student Health Services, PO Box 6899, Radford, VA 24142 by July 1 for students entering fall semester and December 1 for students entering spring semester.  Please make a copy of the completed health form for your records. 

            Student Health Form (.pdf format)

        

Please Note:  Hepatitis B Vaccine is now a requirement

 

 

Moffet Hall, Ground Floor| (540) 831-5111 |
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