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Health FormsAll Mount St. Mary's College students must have the following forms in their files to register for classes and live in the residence halls.
Forms below are used to release your medical records from your doctor to the student health clinic. For your convenience, there are two versions--please download one as needed.
Form below is used to release your medical records from student health clinic to your doctor (or to you).
You may pick up the forms in the Health Services office or you may print these forms (in Adobe Acrobat format) and turn them in when they are complete. Please mail or fax your completed health forms to: Chalon CampusMount St. Mary's College Office: (310) 954-4110 Doheny CampusMount St. Mary's College Office: (213) 477-2685 New!! You may also download our brochure.
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