{"id":301,"date":"2022-05-04T19:28:11","date_gmt":"2022-05-04T19:28:11","guid":{"rendered":"https:\/\/www.trincoll.edu\/health-center\/?page_id=301"},"modified":"2025-12-11T20:27:13","modified_gmt":"2025-12-11T20:27:13","slug":"forms","status":"publish","type":"page","link":"https:\/\/www.trincoll.edu\/health-center\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"<p>Upload completed forms to the <a href=\"https:\/\/trinity.studenthealthportal.com\/\">student health portal<\/a> (<a href=\"https:\/\/www.trincoll.edu\/health-center\/wp-content\/uploads\/sites\/126\/2022\/05\/portal-document-upload-instructions.pdf\">instructions for uploading documents<\/a><u>)<\/u> or submitted directly to the Health Center via email: <a href=\"mailto:healthcenter@trincoll.edu\">healthcenter@trincoll.edu<\/a> or fax: 860-297-2020.<\/p>\n<ul>\n<li><a href=\"https:\/\/www.trincoll.edu\/health-center\/wp-content\/uploads\/sites\/126\/2025\/12\/NEW-STUDENT-FORM-with-PPE.pdf\">NEW STUDENT FORM<\/a> \u2013 for all new students to complete Health Center requirements<\/li>\n<li><a href=\"https:\/\/www.trincoll.edu\/health-center\/wp-content\/uploads\/sites\/126\/2025\/02\/RELEASE-OF-INFO-ROI-dm-edits.pdf\">Authorization for Use or Disclosure of Health Information<\/a> \u2013 for the sharing of any Protected Health Information<\/li>\n<li><a href=\"https:\/\/www.trincoll.edu\/health-center\/wp-content\/uploads\/sites\/126\/2025\/01\/PRESCRIPTION-RX.ING-TRANFER-FORM.pdf\">Prescription Transfer Form<\/a> \u2013 for the transfer of chronic medication prescription writing to Health Center staff.<br \/>\nPlease note, with a delivery account, Walgreens on 100 Retreat Ave., makes effort to honor prescriptions from out of state providers for our college students\u2019 continuity of care. Please call 860-595-1813 to set up a delivery account.<\/li>\n<li><a href=\"https:\/\/www.trincoll.edu\/health-center\/wp-content\/uploads\/sites\/126\/2025\/12\/MEDICAL-EXEMPTION-FORM.pdf\">Medical Exemption Form<\/a> \u2013 for students submitting for a medical exemption to the state required vaccinations<\/li>\n<\/ul>\n<p>CT statute requires Trinity College to provide you with the following information:<\/p>\n<p><a href=\"https:\/\/www.immunize.org\/wp-content\/uploads\/catg.d\/p4205.pdf\">First Year Hepatitis B Fact Sheet<\/a><br \/>\n<a href=\"https:\/\/www.trincoll.edu\/health-center\/wp-content\/uploads\/sites\/126\/2023\/02\/Men-B-Letter.pdf\">Meningitis B Vaccination Information<\/a><br \/>\n<a href=\"https:\/\/hartfordhealthcare.org\/rights-privacy\">Notice of Privacy Practices<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Upload completed forms to the student health portal (instructions for uploading documents) or submitted directly to the Health Center via email: healthcenter@trincoll.edu or fax: 860-297-2020. NEW STUDENT FORM \u2013 for all new students to complete Health Center requirements Authorization for Use or Disclosure of Health Information \u2013 for the sharing of any Protected Health Information [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-301","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.5 (Yoast SEO v25.8) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Forms - Trinity College Health Center<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.trincoll.edu\/health-center\/forms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Forms\" \/>\n<meta property=\"og:description\" content=\"Upload completed forms to the student health portal (instructions for uploading documents) or submitted directly to the Health Center via email: healthcenter@trincoll.edu or fax: 860-297-2020. 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