Illness Self-Report Form
If you are experiencing illness symptoms please complete the following form.
Once received you will be contacted by a member of the Student Life Team to answer questions you may have about resources available to you during your illness.
If it is after business hours, please contact the Emergency On-Call Residence Life Staff at 406.698.8777.
First and Last Name
Cell Phone Number
Where do you reside?
Not experiencing symptoms but believe to have come in contact with someone who is
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This form was created inside of Rocky Mountain College.