Report of Health History
This information is strictly for the use of Anderson University Health Services and will not be released without your knowledge or consent.

All undergraduate students entering Anderson University are required to submit this form as well as an up to date Report of Required Immunizations form to the Department of Student Life by July 15th. You may click the link below to download a copy of the Report of Required Immunizations.

https://drive.google.com/file/d/0B3CLm5tEI7hPV0dwUWxFT00xeUk/view?usp=sharing

Housing assignment may be withheld until completed Health History and Immunization record has been submitted to the Department of Student Life.

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