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WESTERN CONNECTICUT STATE UNIVERSITY DANBURY CONNECTICUT Health Service Office Phone 203 8378594 Fax 203 8378583AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION **FROM DISPLEASE ALLOW 35 business
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01
Step 1: Obtain the CSUS health services form from the designated office.
02
Step 2: Read the instructions carefully to understand the information required.
03
Step 3: Fill out your personal details such as name, student ID, contact information, etc.
04
Step 4: Provide accurate information regarding your medical history, including any allergies, medications, or pre-existing conditions.
05
Step 5: If applicable, answer the questions related to insurance coverage and provide the necessary details.
06
Step 6: Make sure to sign and date the form at the designated section.
07
Step 7: Review the completed form to ensure all information is accurate and legible.
08
Step 8: Submit the form to the CSUS health services office within the specified deadline.

Who needs csus health services form?

01
All students enrolled at CSUS need to fill out the CSUS health services form.
02
It is a mandatory requirement for accessing health services and maintaining student health records.
03
Whether you are a full-time or part-time student, undergraduate or graduate, the form is necessary for all.
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The CSUS Health Services form is a document used to gather information about the health services provided by California State University, Sacramento.
All students, faculty, and staff at CSUS are required to file the health services form.
You can fill out the CSUS Health Services form online through the university's student portal or in person at the health services center on campus.
The purpose of the CSUS Health Services form is to ensure that all individuals at the university have access to the healthcare services they need.
The CSUS Health Services form requires individuals to report their medical history, current health issues, and insurance information.
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