Student Health and Wellness Center

Comprehensive Health History Form

(Required for all new students)

Do you need your medical records released?  If so, you'll need to fill out this form to do so.  You can either fax the form, or send it to us in the mail.     

Inform Us

The Student Health & Wellness Center would like to hear feedback regarding your visit. Please click on the Inform Us link above or e-mail SHWCfeedback@sou.edu with your feedback.

If e-mailing your feedback please make sure to include the date of your visit and providers name along with your feedback. If you would like be informed of any action taken as the result of your feedback (compliment, complaint, concern or question) please provide your contact information including your full name and a number where you can be reached.
Thank you!

Certificate of Immunization

Any of the above forms can be completed and faxed to the Student Health & Wellness Center at 541-552-6693.