Health Form (New Students)
All new undergraduate CUI students are required to complete and submit Health Forms. Go to cui.medicatconnect.com to fill out your health form and submit immunization records to ensure that a HOLD will not be placed on your account. A HOLD on your account will hinder your ability to complete the registration process and prevent you from moving into housing.
The Wellness Center is open during school sessions and closed on student breaks and holidays. Should you have any questions regarding these forms, please contact (949) 214-3102 or firstname.lastname@example.org.
Post Hospitalization Clearance Form
Any student who gets hospitalized or taken to the Emergency Department needs to fill out a Clearance Form before moving back to housing and/or coming back to class.
Psychological Counseling Forms
Students who wish to see a counselor will need to fill out an Intake Packet. This needs to be handed to the therapist on the first counseling session. Hard copies are also available at the Wellness Center.
Sessions are kept confidential. However, there are cases wherein the student requests that the Wellness Center therapist speak to his/her private therapist, parents, professor, etc… In this case, a Consent to Release Information will need to be filled out by the student.