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Patient Portal

 

 

The patient portal gives you access to submit forms. Click here to log in. If you have any portal problems, please contact Student Health Services at (573) 341-4284.

Consent Forms

 

 

Consent to treat a Minor

Allergy Consent

Additional Forms

Release of Information

MMR Waiver Request Form

NCAA ADHD Reporting Form

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Missouri S&T is an equal opportunity/access/affirmative action/pro-disabled and veteran employer and does not discriminate on the basis of sex in our education programs or activities, pursuant to Title IX and 34 CFR Part 106. For more information, see S&T's Nondiscrimination Policy or Equity and Title IX.