Trinity students
living on campus are required to have a complete
Health Record form on file. This includes a completed physical exam
form as well as information regarding immunizations and health insurance
coverage. All full time students must submit this form to the Health
Services before their initial registration at Trinity University. This
Health Record includes the consent for treatment, signed by the student
or parent/guardian if the student is a minor.
We request your adherence to our requirement, supported by the Texas
Department of Health, that student present proof of immunizations for
diphtheria, tetanus, polio, measles, mumps and rubella.
Download
the Health Record form (.pdf)
All health records
are confidential and will not be released without the specific written
request of the patient.
If you are requesting
your Immunization Records you may print the form:
Immunization
Records Release
Request(.pdf)
Fill the form out
completely and you may fax it to Health Services at (210) 999-8378 or
mail to the address on the form.