Attention Newly Admitted Students
The following immunizations form and health history must be printed, completed, and returned
to the health center before you can register for classes. You may submit the immunization information
online or print out a copy to be sent to Hendrix Health Center. Please keep a copy for your records.
(You will need Acrobat Reader in order to view and print these forms.)
Required prior to registering for classes.
Other forms:
Requesting Health Information?
If you request a copy of your health information to be given directly to you, there may be a charge
based on the number of pages copied. There may also be a charge for records sent to insurance
companies or legal offices.
Fax number:
(218) 477-5867
Mailing address:
Hendrix Health Center
1104 7th Ave. S
Moorhead, MN 56563
Release of Health Information Form
Request to Obtain Health Information from Another Facility Form
