Student Health Services at Moffitt Health Center

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Patient Forms

Certificate of Immunization Compliance - 121 Form

Consent to Release ADHD Medical Records to USM Student Health Services

Consent to Release Medical Records from Student Health Services

Consent to Release Medical Records to Student Health Services

Controlled Substance Good Faith Agreement

Pharmacy Delivery Consent Form

Hours

Fall and Spring Semesters

Monday-Wednesday:

8 a.m. - 5 p.m.
Thursday: 9 a.m. - 5 p.m.
Friday: 8 a.m. - 4:30 p.m.

*Pharmacy opens at 9 a.m. Monday - Friday*

Semester Breaks and Summer

Clinic and Pharmacy (Patient Hours)
Monday - Friday
9 a.m. - Noon, 1 p.m - 4 p.m.