Student Health Forms

Students are required to complete:

1. Student Health Form
2. Immunization Form
3. Proof of Tuberculosis Screening Form

Incomplete or inaccurate information may result in the inability to register for classes, the cancellation of class registration, or cause improper decision/diagnosis for your future medical care.  

Completed forms may be mailed to:

Jacksonville State University
Student Health Center
1701 Pelham Road South
Jacksonville, Alabama 36265

Completed forms may be faxed to the Student Health Center at 256.782.5307. 

If you have specific concerns regarding immunizations including, but not limited to, religious/personal beliefs, medical contraindications, or are studying completely online and web-based, please contact Student Health at 256.782.5310.

If you have any further questions or concerns, please do not hesitate to contact the Student Health Center at 256.782.5310. We are happy to assist you.