Forms

Health and Immunization Form

Meningococcal Information and Waiver

Authorization for Disclosure of Health Care Information

Tuberculosis Risk Assessment Form

Privacy Policy

Mail, fax, or bring in person to:                                                                                        

Salem State University
Counseling and Health Services
352 Lafayette Street
Salem, MA 01970
Phone:  978.542.6413
Fax: 978.542.7121