Connecticut State University Student Health Services Form

The CSU Student Health Services Form is required for all full-time or matriculating students. It must be submitted by August 1 (Fall Deadline) or January 1 (Spring Deadline).

Download Form View Instructions

Optional Forms

These are not required for all students.

• Release of Information/Request for Records: Health records are maintained on file for a period of 7 years after the student leaves the University and may not be released without the written consent of the student.
• Medical Exemption Request
• Request for Medical Parking