Health Form (PDF – requires Adobe Reader)
Health Forms are required for each Student enrolled in the University.
Health forms must be submitted before any student is allowed to stay over night at the New Student Orientation.
Release of Medical Information
If medical information or records need to be sent to another Provider. Please mail or fax release of info to Student Health Services, 910.521.6549.
Any Questions, Please feel free to call Student Health Services at 910.521.6219.
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© The University of North Carolina at Pembroke, 1 University Drive, Pembroke, NC 28372-1510 - 910.521.6000