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Student Health Services
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    Forms

    Student Health Services Forms

    Dahlonega Campus

    • Medical History Form for Dahlonega (PDF)
    • Women's/Men's Medical History Form for Dahlonega (PDF)
    • Medical Release Form (PDF)
    • Immunization Forms
    • Patient Acknowledgment Form for Dahlonega (PDF)
    • Patient Screening Form (PDF)

    Gainesville Campus

    • Medical Release Form (PDF)
    • Immunization Forms
    • Patient Screening Form (PDF)

    Release of Health Information

    In order to send your medical records to a third-party health service or educational institution, please fill out the medical release form (PDF) and return via:

    Campus & Email Fax Mailing Address
    Dahlonega Campus
    stuhealth@ung.edu
    706-864-1448 Student Health Services
    110 S. Chestatee St, Suite 100
    Dahlonega, GA 30597
    Gainesville Campus
    stuhealthgvl@ung.edu 
    678-696-2686  Gainesville Campus Clinic
    3820  Mundy Mill Rd.
    Building 23
    Oakwood, GA 30566

    **Please allow 48-hour notice for processing of immunization records.

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