Health Services

Forms

• Under the Age of 18 Consent to Treat Form (DocuSign)
• Privacy Notice
• Student Health Form (PDF)
• Allergy Injections Form (PDF)
• Disclosing Health Information (PDF)
• Receiving Health Information (PDF)
• Special Parking Permit (PDF)
• Student Shipment Form (PDF)
• Therapeutic Injection Order Form (PDF)

The following form is required for enrollment and course registration at Tennessee Tech:

• Certificate of Immunization (PDF), or you may submit a copy of your Immunization Record from a Health Care Provider to healthservices@tntech.edu or by faxing them to 931-372-3848.

The following forms should be completed by the student or their parent/legal guardian (if under the age of 18 as of the date of submission of this form) using DocuSign:

• Meningitis/Hepatitis Form (DocuSign)
• Tuberculosis Screening Form (DocuSign)