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Baylor BU Health Services About Health Form Instructions
  • Baylor University Student Emergency Services
  • FAQs
  • Health Form Instructions
  • Meet Our Staff
  • Notice Concerning Complaints
  • Patient Rights and Responsibilities
  • Required Immunizations and Exemptions
  • Scope Of Clinical Activities

Health Form Instructions

Baylor will be transitioning to a new Health Portal-based method for documenting Health Form data; updated instructions will be added in the coming months. Please call 254-710-1010 if you have any questions. 

Instructions for Completing Your Health Form

*Mailing address:
Baylor University Health Services
Attn: Health Form
One Bear Place #97060
Waco, TX 76798-7060

*Fax: 254-710-2499

*Email: Health_Services@baylor.edu

  1. Fill out your demographic data in the first section. Make a copy of the front and back of your health insurance card and send with the health form.
  2. Fill out your medical history, including explanations of positive answers and all medications that you take regularly.
  3. Sign and date the form. If you are under 18, have your parent or guardian sign and date it also.
  4. Fill in dates for the required immunizations for Baylor.  Also attach a copy of your official immunization record (school record or doctor’s office record with healthcare personnel signature).  If you do not have an official record, healthcare personnel must sign your Health Form to authenticate the immunization dates.
  5. Answer the 4 questions regarding possible tuberculosis exposure. If any of the answers is “yes”, you will need to go to your doctor or a public health department to have tuberculosis testing done. Either a skin test or blood test is acceptable. If the skin test is positive, you may choose to just have the chest x-ray and discuss with your doctor about being treated with INH or rifampin. You may also choose to have a blood test to make sure the skin test is accurate. If the blood test is negative, you do not need a chest x-ray. This section needs to be filled out completely and signed by a healthcare provider.
  6. Please keep a copy of your Health Form for your records.
  7. Please return this form by fax, email, or mail

Health Form

Health Services

McLane Student Life Center, 2nd Floor
209 Speight Ave
Waco, Tx 76706

Phone: (254) 710-1010
Fax: (254) 710-2499
EMERGENCY: 911
Health_Services@baylor.edu
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Baylor BU Health Services About Health Form Instructions
  • About
    Back
    • Baylor University Student Emergency Services
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      • Relationship Violence
      • Self Care
    • FAQs
    • Health Form Instructions
    • Meet Our Staff
    • Notice Concerning Complaints
    • Patient Rights and Responsibilities
    • Required Immunizations and Exemptions
    • Scope Of Clinical Activities
  • Services
    Back
    • ADHD Policy
      Back
      • ADHD Referrals
    • Appointments
      Back
      • What to Bring
    • Comfort/Support Animals
    • Common Charges
    • General Services
    • Health Links
    • Immunizations
      Back
      • Meningitis Vaccination
        Back
        • Meningitis Vaccine FAQs
    • Lab Services
    • Navigating Hospitalization
    • Pharmacy
      Back
      • Reading Your Prescription Label
      • Prescription Drug Insurance
      • Medication Return Collection
      • RX Coupons
      • Pharmacy FAQs
    • Physical Therapy
    • Psychiatry Services
    • Summer Acute Care for Faculty/Staff
    • Telehealth Information
    • Travel Consultation
  • Disease Prevention
    Back
    • Influenza Information
      Back
      • Flu Vaccine
    • Measles Information
  • Medical Records
    Back
    • Privacy Notice and Consent for Treatment
    • Medical Records Release Form
    • Internship Vaccination Exceptions Policy
    • Required Immunizations and Exemptions
  • Insurance
    Back
    • Billing Information
    • Insurance and Referral Tips
    • International Student Insurance Policy
    • Undergraduate, Graduate, Law and Seminary Students
  • Student Health Advisory Council
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