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WIU Home > Student Success > Beu Health Center > Forms

Health Center Forms

• Health History Form
• Immunization Record Form
• Communicable Disease Form
• Authorization to Release Medical Information
• Study Abroad Medical Release Form
• Religious Exemption Request Form

Alternative Formats

Most of these forms are provided online in PDF format and require Adobe Reader. If you require any of these forms in an alternative format, please contact Beu Health Center at (309) 298-1888.

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