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Forms

Patient Forms

PATIENT COMPLAINT

CONSENT TO TREAT A MINOR

RELEASE OF INFORMATION

RELEASE OF INFORMATION MENTAL HEALTH RECORDS

ABSENCE NOTIFICATION FOR STUDENTS

IMMUNIZATION EXEMPTION REQUEST

Patient Rights & Policies

A medical record is maintained on every person who receives care at Student Health Services. All information in the record is confidential.

Access to information contained in your file is limited to you (the patient) and Student Health Services personnel, unless you give written permission to disclose it, except by court order. All employees sign a confidentiality pledge.

PATIENT BILL OF RIGHTS AND RESPONSIBILITIES

NOTICE OF PRIVACY PRACTICES - FERPA (STUDENT)

NOTICE OF PRIVACY PRACTICES - HIPAA (NON-STUDENT)

Student Health Services
McCannel Hall Room 100
2891 2nd Ave N Stop 9038
Grand Forks, ND 58202-9038
P 701.777.4500
F 701.777.4835
UND.studenthealth@UND.edu

 

My Health Portal Login

Patient Feedback

Clinic Hours

Monday – Friday
8 a.m. – 4:30 p.m.
Closed all legal holidays and campus closures.

After Hours Care

If this is an emergency, call 911. 

Altru Express Care

Sanford Health Walk-In Care

SHS Parking

UND Parking Maps

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