MSU Moorhead

	Online Immunization Form

	Immunization Records For Students Attending MSU Moorhead
	Required prior to registering for classes.

	Authorization and Request for Release of Medical Information

	Authorization and Consent for Treatment of Minors

These forms need to be filled out in order to get enrolled at Minnesota State University Moorhead.

(You will need Acrobat Reader in order to view and print these forms.)

Hendrix Clinic and Counseling Center